HCPCS Codes - Medical Procedures, Supplies & DME Codes - l2 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("l2" Codes):- L2000 knee ankle foot orthosis single upright HCPCS Code Code
- L2005 knee ankle foot orthosis any material HCPCS Code Code
- L2006 Knee ankle foot device, any material, single or double upright, swing and/or stance phase microprocessor control with adjustability, includes al Code
- L2010 knee ankle foot orthosis single upright HCPCS Code Code
- L2020 knee ankle foot orthosis double upright HCPCS Code Code
- L2030 knee ankle foot orthosis double upright HCPCS Code Code
- L2034 knee ankle foot orthosis full plastic HCPCS Code Code
- L2035 knee ankle foot orthosis full plastic HCPCS Code Code
- L2036 knee ankle foot orthosis full plastic HCPCS Code Code
- L2037 knee ankle foot orthosis full plastic HCPCS Code Code
- L2038 knee ankle foot orthosis full plastic HCPCS Code Code
- L2039 KAFO,PLSTIC,MEDLAT ROTAT CON HCPCS Code Code
- L2040 hip knee ankle foot orthosis torsion HCPCS Code Code
- L2050 hip knee ankle foot orthosis torsion HCPCS Code Code
- L2060 hip knee ankle foot orthosis torsion HCPCS Code Code
- L2070 hip knee ankle foot orthosis torsion HCPCS Code Code
- L2080 hip knee ankle foot orthosis torsion HCPCS Code Code
- L2090 hip knee ankle foot orthosis torsion HCPCS Code Code
- L2106 ankle foot orthosis fracture orthosis tibial HCPCS Code Code
- L2108 ankle foot orthosis fracture orthosis tibial HCPCS Code Code
- L2112 ankle foot orthosis fracture orthosis tibial HCPCS Code Code
- L2114 ankle foot orthosis fracture orthosis tibial HCPCS Code Code
- L2116 ankle foot orthosis fracture orthosis tibial HCPCS Code Code
- L2126 knee ankle foot orthosis fracture orthosis HCPCS Code Code
- L2128 knee ankle foot orthosis fracture orthosis HCPCS Code Code
- L2132 kafo fracture orthosis femoral fracture cast HCPCS Code Code
- L2134 kafo fracture orthosis femoral fracture cast HCPCS Code Code
- L2136 kafo fracture orthosis femoral fracture cast HCPCS Code Code
- L2180 addition lower extremity fracture orthosis plastic HCPCS Code Code
- L2182 addition lower extremity fracture orthosis drop HCPCS Code Code
- L2184 addition lower extremity fracture orthosis limited HCPCS Code Code
- L2186 addition lower extremity fracture orthosis adjustable HCPCS Code Code
- L2188 addition lower extremity fracture orthosis quadrilateral HCPCS Code Code
- L2190 addition lower extremity fracture orthosis waist HCPCS Code Code
- L2192 addition lower extremity fracture orthosis hip HCPCS Code Code
- L2200 addition lower extremity limited ankle motion HCPCS Code Code
- L2210 addition lower extremity dorsiflexion assist plantar HCPCS Code Code
- L2220 addition lower extremity dorsiflexion plantar flexion HCPCS Code Code
- L2230 addition lower extremity split flat caliper HCPCS Code Code
- L2232 addition lower extremity orthosis rocker bottom HCPCS Code Code
- L2240 addition lower extremity round caliper plate HCPCS Code Code
- L2250 addition lower extremity foot plate molded HCPCS Code Code
- L2260 addition lower extremity reinforced solid stirrup HCPCS Code Code
- L2265 addition lower extremity long tongue stirrup HCPCS Code Code
- L2270 addition lower extremity varusvalgus correction t HCPCS Code Code
- L2275 addition lower extremity varusvalgus correction plastic HCPCS Code Code
- L2280 addition lower extremity molded inner boot HCPCS Code Code
- L2300 addition lower extremity abduction bar bilateral HCPCS Code Code
- L2310 addition lower extremity abduction barstraight HCPCS Code Code
- L2320 addition lower extremity nonmolded lacer custom HCPCS Code Code
- L2330 addition lower extremity lacer molded patient HCPCS Code Code
- L2335 addition lower extremity anterior swing band HCPCS Code Code
- L2340 addition lower extremity pretibial shell molded HCPCS Code Code
- L2350 addition lower extremity prosthetic type bk HCPCS Code Code
- L2360 addition lower extremity extended steel shank HCPCS Code Code
- L2370 addition lower extremity patten bottom HCPCS Code Code
- L2375 addition lower extremity torsion control ankle HCPCS Code Code
- L2380 addition lower extremity torsion control straight HCPCS Code Code
- L2385 addition lower extremity straight knee joint HCPCS Code Code
- L2387 addition lower extremity polycentric knee joint HCPCS Code Code
- L2390 addition lower extremity offset knee joint HCPCS Code Code
- L2395 addition lower extremity offset knee joint HCPCS Code Code
- L2397 addition lower extremity orthosis suspension sleeve HCPCS Code Code
- L2405 addition knee joint drop lock each HCPCS Code Code
- L2415 addition knee lock integrated release mechanism HCPCS Code Code
- L2425 addition knee joint disc dial lock HCPCS Code Code
- L2430 addition knee joint ratchet lock active HCPCS Code Code
- L2435 KNEE JOINT POLYCENTRIC JOINT HCPCS Code Code
- L2492 addition knee joint lift loop drop HCPCS Code Code
- L2500 addition lower extremity thighweight bearing gluteal HCPCS Code Code
- L2510 addition lower extremity thighweight bearing quadri HCPCS Code Code
- L2520 addition lower extremity thighweight bearing quadri HCPCS Code Code
- L2525 addition lower extremity thighweight bearing ischial HCPCS Code Code
- L2526 addition lower extremity thighweight bearing ischial HCPCS Code Code
- L2530 addition lower extremity thighweight bearing lacer HCPCS Code Code
- L2540 addition lower extremity thighweight bearing lacer HCPCS Code Code
- L2550 addition lower extremity thighweight bearing high HCPCS Code Code
- L2570 addition lower extremity pelvic control hip HCPCS Code Code
- L2580 addition lower extremity pelvic control pelvic HCPCS Code Code
- L2600 addition lower extremity pelvic control hip HCPCS Code Code
- L2610 addition lower extremity pelvic control hip HCPCS Code Code
- L2620 addition lower extremity pelvic control hip HCPCS Code Code
- L2622 addition lower extremity pelvic control hip HCPCS Code Code
- L2624 addition lower extremity pelvic control hip HCPCS Code Code
- L2627 addition lower extremity pelvic control plastic HCPCS Code Code
- L2628 addition lower extremity pelvic control metal HCPCS Code Code
- L2630 addition lower extremity pelvic control band HCPCS Code Code
- L2640 addition lower extremity pelvic control band HCPCS Code Code
- L2650 addition lower extremity pelvic thoracic control HCPCS Code Code
- L2660 addition lower extremity thoracic control thoracic HCPCS Code Code
- L2670 addition lower extremity thoracic control paraspinal HCPCS Code Code
- L2680 addition lower extremity thoracic control lateral HCPCS Code Code
- L2750 addition lower extremity orthosis plating chrome HCPCS Code Code
- L2755 addition lower extremity orthosis high strength HCPCS Code Code
- L2760 addition lower extremity orthosis extension per HCPCS Code Code
- L2768 orthotic side bar disconnect device per HCPCS Code Code
- L2770 addition lower extremity orthosis any material HCPCS Code Code
- L2780 addition lower extremity orthosis noncorrosive finish HCPCS Code Code
- L2785 addition lower extremity orthosis drop lock HCPCS Code Code
- L2795 addition lower extremity orthosis knee control HCPCS Code Code
- L2800 addition lower extremity orthosis knee control HCPCS Code Code
- L2810 addition lower extremity orthosis knee control HCPCS Code Code
- L2820 addition lower extremity orthosis soft interface HCPCS Code Code
- L2830 addition lower extremity orthosis soft interface HCPCS Code Code
- L2840 addition lower extremity orthosis tibial length HCPCS Code Code
- L2850 addition lower extremity orthosis femoral length HCPCS Code Code
- L2860 addition lower extremity joint knee ankle HCPCS Code Code
- L2861 Torsion mechanism knee/ankle HCPCS Code Code
- L2999 lower extremity orthoses not otherwise HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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