Question 1

What is HCPCS code L2230?

Accepted Answer

HCPCS code L2230 is "Split flat caliper stirr & p". Addition to lower extremity, split flat caliper stirrups and plate attachment

Question 2

What category is L2230 in?

Accepted Answer

L2230 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L2230?

Accepted Answer

Use L2230 when billing for split flat caliper stirr & p. 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 L2230 covered by Medicare?

Accepted Answer

Coverage for L2230 (Split flat caliper stirr & p) 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 L2230?

Accepted Answer

Documentation for L2230 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).