Question 1

What is HCPCS code L1933?

Accepted Answer

HCPCS code L1933 is "Afo rig ant tib tcf/= ots". Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf

Question 2

What category is L1933 in?

Accepted Answer

L1933 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L1933?

Accepted Answer

Use L1933 when billing for afo rig ant tib tcf/= 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 L1933 covered by Medicare?

Accepted Answer

Coverage for L1933 (Afo rig ant tib tcf/= 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 L1933?

Accepted Answer

Documentation for L1933 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).