Question 1

What is HCPCS code L6380?

Accepted Answer

HCPCS code L6380 is "Postop dsg cast chg wrst/elb". Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow

Question 2

What category is L6380 in?

Accepted Answer

L6380 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6380?

Accepted Answer

Use L6380 when billing for postop dsg cast chg wrst/elb. 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 L6380 covered by Medicare?

Accepted Answer

Coverage for L6380 (Postop dsg cast chg wrst/elb) 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 L6380?

Accepted Answer

Documentation for L6380 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).