Question 1

What is HCPCS code L0700?

Accepted Answer

HCPCS code L0700 is "Ctlso a-p-l control molded". Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)

Question 2

What category is L0700 in?

Accepted Answer

L0700 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L0700?

Accepted Answer

Use L0700 when billing for ctlso a-p-l control molded. 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 L0700 covered by Medicare?

Accepted Answer

Coverage for L0700 (Ctlso a-p-l control molded) 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 L0700?

Accepted Answer

Documentation for L0700 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).