Question 1

What is HCPCS code L1025?

Accepted Answer

HCPCS code L1025 is "Kyphosis pad floating". Addition to ctlso or scoliosis orthosis, kyphosis pad, floating

Question 2

What category is L1025 in?

Accepted Answer

L1025 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1025?

Accepted Answer

Use L1025 when billing for kyphosis pad floating. 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 L1025 covered by Medicare?

Accepted Answer

Coverage for L1025 (Kyphosis pad floating) 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 L1025?

Accepted Answer

Documentation for L1025 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).