Question 1

What is HCPCS code L8435?

Accepted Answer

HCPCS code L8435 is "Pros sock multi ply upper lm". Prosthetic sock, multiple ply, upper limb, each

Question 2

What category is L8435 in?

Accepted Answer

L8435 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8435?

Accepted Answer

Use L8435 when billing for pros sock multi ply upper lm. 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 L8435 covered by Medicare?

Accepted Answer

Coverage for L8435 (Pros sock multi ply upper lm) 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 L8435?

Accepted Answer

Documentation for L8435 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).