Question 1

What is HCPCS code L3906?

Accepted Answer

HCPCS code L3906 is "Who w/o joints cf". Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Question 2

What category is L3906 in?

Accepted Answer

L3906 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3906?

Accepted Answer

Use L3906 when billing for who w/o joints cf. 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 L3906 covered by Medicare?

Accepted Answer

Coverage for L3906 (Who w/o joints cf) 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 L3906?

Accepted Answer

Documentation for L3906 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).