Question 1

What is HCPCS code L6680?

Accepted Answer

HCPCS code L6680 is "Test sock wrist disart/bel e". Upper extremity addition, test socket, wrist disarticulation or below elbow

Question 2

What category is L6680 in?

Accepted Answer

L6680 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6680?

Accepted Answer

Use L6680 when billing for test sock wrist disart/bel e. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is L6680 covered by Medicare?

Accepted Answer

Coverage for L6680 (Test sock wrist disart/bel e) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for L6680?

Accepted Answer

Documentation for L6680 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).