Question 1

What is HCPCS code L1833?

Accepted Answer

HCPCS code L1833 is "Ko adj jnt pos r sup pre ots". Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Question 2

What category is L1833 in?

Accepted Answer

L1833 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1833?

Accepted Answer

Use L1833 when billing for ko adj jnt pos r sup pre ots. 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 L1833 covered by Medicare?

Accepted Answer

Coverage for L1833 (Ko adj jnt pos r sup pre ots) 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 L1833?

Accepted Answer

Documentation for L1833 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).