Question 1

What is HCPCS code L6910?

Accepted Answer

HCPCS code L6910 is "Hand restoration no fingers". Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining

Question 2

What category is L6910 in?

Accepted Answer

L6910 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6910?

Accepted Answer

Use L6910 when billing for hand restoration no fingers. 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 L6910 covered by Medicare?

Accepted Answer

Coverage for L6910 (Hand restoration no fingers) 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 L6910?

Accepted Answer

Documentation for L6910 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).