Question 1

What is HCPCS code L3252?

Accepted Answer

HCPCS code L3252 is "Shoe molded plastazote cust". Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each

Question 2

What category is L3252 in?

Accepted Answer

L3252 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3252?

Accepted Answer

Use L3252 when billing for shoe molded plastazote cust. 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 L3252 covered by Medicare?

Accepted Answer

Coverage for L3252 (Shoe molded plastazote cust) 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 L3252?

Accepted Answer

Documentation for L3252 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).