Question 1

What is HCPCS code L6690?

Accepted Answer

HCPCS code L6690 is "Frame typ sock interscap-tho". Upper extremity addition, frame type socket, interscapular-thoracic

Question 2

What category is L6690 in?

Accepted Answer

L6690 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6690?

Accepted Answer

Use L6690 when billing for frame typ sock interscap-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 L6690 covered by Medicare?

Accepted Answer

Coverage for L6690 (Frame typ sock interscap-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 L6690?

Accepted Answer

Documentation for L6690 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).