Question 1

What is HCPCS code L3265?

Accepted Answer

HCPCS code L3265 is "Plastazote sandal each". Plastazote sandal, each

Question 2

What category is L3265 in?

Accepted Answer

L3265 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3265?

Accepted Answer

Use L3265 when billing for plastazote sandal each. 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 L3265 covered by Medicare?

Accepted Answer

Coverage for L3265 (Plastazote sandal each) 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 L3265?

Accepted Answer

Documentation for L3265 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).