Question 1

What is HCPCS code L3620?

Accepted Answer

HCPCS code L3620 is "Trans shoe solid stirrup exi". Transfer of an orthosis from one shoe to another, solid stirrup, existing

Question 2

What category is L3620 in?

Accepted Answer

L3620 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3620?

Accepted Answer

Use L3620 when billing for trans shoe solid stirrup exi. 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 L3620 covered by Medicare?

Accepted Answer

Coverage for L3620 (Trans shoe solid stirrup exi) 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 L3620?

Accepted Answer

Documentation for L3620 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).