Question 1

What is HCPCS code L1990?

Accepted Answer

HCPCS code L1990 is "Afo doub solid stirrup calf". Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated

Question 2

What category is L1990 in?

Accepted Answer

L1990 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1990?

Accepted Answer

Use L1990 when billing for afo doub solid stirrup calf. 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 L1990 covered by Medicare?

Accepted Answer

Coverage for L1990 (Afo doub solid stirrup calf) 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 L1990?

Accepted Answer

Documentation for L1990 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).