Question 1

What is HCPCS code L6945?

Accepted Answer

HCPCS code L6945 is "Elbow disart myoelectronic c". Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Question 2

What category is L6945 in?

Accepted Answer

L6945 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6945?

Accepted Answer

Use L6945 when billing for elbow disart myoelectronic c. 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 L6945 covered by Medicare?

Accepted Answer

Coverage for L6945 (Elbow disart myoelectronic c) 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 L6945?

Accepted Answer

Documentation for L6945 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).