Question 1

What is HCPCS code L6588?

Accepted Answer

HCPCS code L6588 is "Shdr fair lead cable molded". Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model

Question 2

What category is L6588 in?

Accepted Answer

L6588 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6588?

Accepted Answer

Use L6588 when billing for shdr fair lead cable molded. 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 L6588 covered by Medicare?

Accepted Answer

Coverage for L6588 (Shdr fair lead cable molded) 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 L6588?

Accepted Answer

Documentation for L6588 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).