Question 1

What is HCPCS code L1680?

Accepted Answer

HCPCS code L1680 is "Pelvic & hip control thigh c". Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated

Question 2

What category is L1680 in?

Accepted Answer

L1680 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1680?

Accepted Answer

Use L1680 when billing for pelvic & hip control thigh c. 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 L1680 covered by Medicare?

Accepted Answer

Coverage for L1680 (Pelvic & hip control thigh c) 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 L1680?

Accepted Answer

Documentation for L1680 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).