Question 1

What is HCPCS code L1844?

Accepted Answer

HCPCS code L1844 is "Ko w/adj jt rot cntrl molded". Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Question 2

What category is L1844 in?

Accepted Answer

L1844 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1844?

Accepted Answer

Use L1844 when billing for ko w/adj jt rot cntrl molded. 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 L1844 covered by Medicare?

Accepted Answer

Coverage for L1844 (Ko w/adj jt rot cntrl molded) 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 L1844?

Accepted Answer

Documentation for L1844 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).