Question 1

What is HCPCS code L6688?

Accepted Answer

HCPCS code L6688 is "Frame typ sock above elb/dis". Upper extremity addition, frame type socket, above elbow or elbow disarticulation

Question 2

What category is L6688 in?

Accepted Answer

L6688 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6688?

Accepted Answer

Use L6688 when billing for frame typ sock above elb/dis. 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 L6688 covered by Medicare?

Accepted Answer

Coverage for L6688 (Frame typ sock above elb/dis) 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 L6688?

Accepted Answer

Documentation for L6688 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).