Question 1

What is HCPCS code L8720?

Accepted Answer

HCPCS code L8720 is "Ext low ext sens prosthe mec". External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg

Question 2

What category is L8720 in?

Accepted Answer

L8720 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8720?

Accepted Answer

Use L8720 when billing for ext low ext sens prosthe mec. 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 L8720 covered by Medicare?

Accepted Answer

Coverage for L8720 (Ext low ext sens prosthe mec) 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 L8720?

Accepted Answer

Documentation for L8720 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).