Question 1

What is HCPCS code L2275?

Accepted Answer

HCPCS code L2275 is "Plastic mod low ext pad/line". Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Question 2

What category is L2275 in?

Accepted Answer

L2275 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L2275?

Accepted Answer

Use L2275 when billing for plastic mod low ext pad/line. 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 L2275 covered by Medicare?

Accepted Answer

Coverage for L2275 (Plastic mod low ext pad/line) 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 L2275?

Accepted Answer

Documentation for L2275 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).