Question 1

What is HCPCS code L3923?

Accepted Answer

HCPCS code L3923 is "Hfo without joints pre cst". Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Question 2

What category is L3923 in?

Accepted Answer

L3923 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3923?

Accepted Answer

Use L3923 when billing for hfo without joints pre cst. 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 L3923 covered by Medicare?

Accepted Answer

Coverage for L3923 (Hfo without joints pre cst) 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 L3923?

Accepted Answer

Documentation for L3923 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).