Question 1

What is HCPCS code L8721?

Accepted Answer

HCPCS code L8721 is "Receptor sole l8720 replace". Receptor sole for use with l8720, replacement, each

Question 2

What category is L8721 in?

Accepted Answer

L8721 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8721?

Accepted Answer

Use L8721 when billing for receptor sole l8720 replace. 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 L8721 covered by Medicare?

Accepted Answer

Coverage for L8721 (Receptor sole l8720 replace) 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 L8721?

Accepted Answer

Documentation for L8721 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).