Question 1

What is HCPCS code L1910?

Accepted Answer

HCPCS code L1910 is "Afo sing bar clasp attach sh". Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment

Question 2

What category is L1910 in?

Accepted Answer

L1910 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1910?

Accepted Answer

Use L1910 when billing for afo sing bar clasp attach sh. 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 L1910 covered by Medicare?

Accepted Answer

Coverage for L1910 (Afo sing bar clasp attach sh) 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 L1910?

Accepted Answer

Documentation for L1910 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).