Question 1

What is HCPCS code L2038?

Accepted Answer

HCPCS code L2038 is "Kafo w/o joint multi-axis an". Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated

Question 2

What category is L2038 in?

Accepted Answer

L2038 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L2038?

Accepted Answer

Use L2038 when billing for kafo w/o joint multi-axis an. 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 L2038 covered by Medicare?

Accepted Answer

Coverage for L2038 (Kafo w/o joint multi-axis an) 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 L2038?

Accepted Answer

Documentation for L2038 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).