Question 1

What is HCPCS code L3720?

Accepted Answer

HCPCS code L3720 is "Forearm/arm cuffs free motio". Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated

Question 2

What category is L3720 in?

Accepted Answer

L3720 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3720?

Accepted Answer

Use L3720 when billing for forearm/arm cuffs free motio. 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 L3720 covered by Medicare?

Accepted Answer

Coverage for L3720 (Forearm/arm cuffs free motio) 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 L3720?

Accepted Answer

Documentation for L3720 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).