Question 1

What is HCPCS code L6025?

Accepted Answer

HCPCS code L6025 is "Part hand disart myoelectric". Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device

Question 2

What category is L6025 in?

Accepted Answer

L6025 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6025?

Accepted Answer

Use L6025 when billing for part hand disart myoelectric. 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 L6025 covered by Medicare?

Accepted Answer

Coverage for L6025 (Part hand disart myoelectric) 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 L6025?

Accepted Answer

Documentation for L6025 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).