Question 1

What is HCPCS code L3924?

Accepted Answer

HCPCS code L3924 is "Hfo without joints pre ots". Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf

Question 2

What category is L3924 in?

Accepted Answer

L3924 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L3924?

Accepted Answer

Use L3924 when billing for hfo without joints pre ots. 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 L3924 covered by Medicare?

Accepted Answer

Coverage for L3924 (Hfo without joints pre ots) 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 L3924?

Accepted Answer

Documentation for L3924 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).