Question 1

What is HCPCS code L2036?

Accepted Answer

HCPCS code L2036 is "Kafo plas doub free knee mol". Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated

Question 2

What category is L2036 in?

Accepted Answer

L2036 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L2036?

Accepted Answer

Use L2036 when billing for kafo plas doub free knee mol. 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 L2036 covered by Medicare?

Accepted Answer

Coverage for L2036 (Kafo plas doub free knee mol) 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 L2036?

Accepted Answer

Documentation for L2036 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).