Question 1

What is HCPCS code L6386?

Accepted Answer

HCPCS code L6386 is "Postop ea cast chg & realign". Immediate post surgical or early fitting, each additional cast change and realignment

Question 2

What category is L6386 in?

Accepted Answer

L6386 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6386?

Accepted Answer

Use L6386 when billing for postop ea cast chg & realign. 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 L6386 covered by Medicare?

Accepted Answer

Coverage for L6386 (Postop ea cast chg & realign) 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 L6386?

Accepted Answer

Documentation for L6386 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).