Question 1

What is HCPCS code L6684?

Accepted Answer

HCPCS code L6684 is "Test socket shldr disart/tho". Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Question 2

What category is L6684 in?

Accepted Answer

L6684 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6684?

Accepted Answer

Use L6684 when billing for test socket shldr disart/tho. 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 L6684 covered by Medicare?

Accepted Answer

Coverage for L6684 (Test socket shldr disart/tho) 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 L6684?

Accepted Answer

Documentation for L6684 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).