Question 1

What is HCPCS code L6037?

Accepted Answer

HCPCS code L6037 is "Postop dsg cast chg handfing". Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers

Question 2

What category is L6037 in?

Accepted Answer

L6037 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6037?

Accepted Answer

Use L6037 when billing for postop dsg cast chg handfing. 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 L6037 covered by Medicare?

Accepted Answer

Coverage for L6037 (Postop dsg cast chg handfing) 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 L6037?

Accepted Answer

Documentation for L6037 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).