Question 1

What is HCPCS code L6384?

Accepted Answer

HCPCS code L6384 is "Postop dsg cast chg shlder/t". Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic

Question 2

What category is L6384 in?

Accepted Answer

L6384 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6384?

Accepted Answer

Use L6384 when billing for postop dsg cast chg shlder/t. 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 L6384 covered by Medicare?

Accepted Answer

Coverage for L6384 (Postop dsg cast chg shlder/t) 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 L6384?

Accepted Answer

Documentation for L6384 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).