Question 1

What is HCPCS code L0859?

Accepted Answer

HCPCS code L0859 is "Mri compatible system". Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Question 2

What category is L0859 in?

Accepted Answer

L0859 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L0859?

Accepted Answer

Use L0859 when billing for mri compatible system. 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 L0859 covered by Medicare?

Accepted Answer

Coverage for L0859 (Mri compatible system) 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 L0859?

Accepted Answer

Documentation for L0859 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).