Question 1

What is HCPCS code L8603?

Accepted Answer

HCPCS code L8603 is "Collagen imp urinary 2.5 ml". Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies

Question 2

What category is L8603 in?

Accepted Answer

L8603 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8603?

Accepted Answer

Use L8603 when billing for collagen imp urinary 2.5 ml. 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 L8603 covered by Medicare?

Accepted Answer

Coverage for L8603 (Collagen imp urinary 2.5 ml) 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 L8603?

Accepted Answer

Documentation for L8603 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).