Question 1

What is HCPCS code L0113?

Accepted Answer

HCPCS code L0113 is "Cranial cervical torticollis". Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

Question 2

What category is L0113 in?

Accepted Answer

L0113 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L0113?

Accepted Answer

Use L0113 when billing for cranial cervical torticollis. 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 L0113 covered by Medicare?

Accepted Answer

Coverage for L0113 (Cranial cervical torticollis) 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 L0113?

Accepted Answer

Documentation for L0113 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).