Question 1

What is HCPCS code L1652?

Accepted Answer

HCPCS code L1652 is "Ho bi thighcuffs w sprdr bar". Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Question 2

What category is L1652 in?

Accepted Answer

L1652 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1652?

Accepted Answer

Use L1652 when billing for ho bi thighcuffs w sprdr bar. 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 L1652 covered by Medicare?

Accepted Answer

Coverage for L1652 (Ho bi thighcuffs w sprdr bar) 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 L1652?

Accepted Answer

Documentation for L1652 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).