Question 1

What is HCPCS code L6884?

Accepted Answer

HCPCS code L6884 is "Replc sockt above elbow disa". Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Question 2

What category is L6884 in?

Accepted Answer

L6884 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6884?

Accepted Answer

Use L6884 when billing for replc sockt above elbow disa. 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 L6884 covered by Medicare?

Accepted Answer

Coverage for L6884 (Replc sockt above elbow disa) 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 L6884?

Accepted Answer

Documentation for L6884 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).