Question 1

What is HCPCS code L6687?

Accepted Answer

HCPCS code L6687 is "Frame typ socket bel elbow/w". Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Question 2

What category is L6687 in?

Accepted Answer

L6687 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6687?

Accepted Answer

Use L6687 when billing for frame typ socket bel elbow/w. 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 L6687 covered by Medicare?

Accepted Answer

Coverage for L6687 (Frame typ socket bel elbow/w) 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 L6687?

Accepted Answer

Documentation for L6687 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).