Question 1

What is HCPCS code L1906?

Accepted Answer

HCPCS code L1906 is "Afo multilig ank sup pre ots". Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf

Question 2

What category is L1906 in?

Accepted Answer

L1906 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1906?

Accepted Answer

Use L1906 when billing for afo multilig ank sup pre ots. 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 L1906 covered by Medicare?

Accepted Answer

Coverage for L1906 (Afo multilig ank sup pre ots) 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 L1906?

Accepted Answer

Documentation for L1906 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).