Question 1

What is HCPCS code L6885?

Accepted Answer

HCPCS code L6885 is "Replc sockt shldr dis/interc". Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

Question 2

What category is L6885 in?

Accepted Answer

L6885 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6885?

Accepted Answer

Use L6885 when billing for replc sockt shldr dis/interc. 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 L6885 covered by Medicare?

Accepted Answer

Coverage for L6885 (Replc sockt shldr dis/interc) 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 L6885?

Accepted Answer

Documentation for L6885 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).