Question 1

What is HCPCS code L2106?

Accepted Answer

HCPCS code L2106 is "Afo tib fx cast plaster mold". Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated

Question 2

What category is L2106 in?

Accepted Answer

L2106 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L2106?

Accepted Answer

Use L2106 when billing for afo tib fx cast plaster mold. 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 L2106 covered by Medicare?

Accepted Answer

Coverage for L2106 (Afo tib fx cast plaster mold) 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 L2106?

Accepted Answer

Documentation for L2106 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).