Question 1

What is HCPCS code L5695?

Accepted Answer

HCPCS code L5695 is "Ak sleeve susp neoprene/equa". Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each

Question 2

What category is L5695 in?

Accepted Answer

L5695 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5695?

Accepted Answer

Use L5695 when billing for ak sleeve susp neoprene/equa. 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 L5695 covered by Medicare?

Accepted Answer

Coverage for L5695 (Ak sleeve susp neoprene/equa) 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 L5695?

Accepted Answer

Documentation for L5695 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).