Question 1

What is HCPCS code L0622?

Accepted Answer

HCPCS code L0622 is "Sio flex pelvisacral custom". Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated

Question 2

What category is L0622 in?

Accepted Answer

L0622 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L0622?

Accepted Answer

Use L0622 when billing for sio flex pelvisacral custom. 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 L0622 covered by Medicare?

Accepted Answer

Coverage for L0622 (Sio flex pelvisacral custom) 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 L0622?

Accepted Answer

Documentation for L0622 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).