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Orthotics - MEDICAID - VIRGINIA (New)

Humana·VA · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +1 more·Medicaid
Effective date
Jul 1, 2025
We identified it
Jun 24, 2026
Days to comply

Summary

New Humana Medicaid policy for Virginia establishes coverage criteria for various orthotic devices including braces, splints, and supports. The policy details specific HCPCS codes and medical necessity requirements for lower extremity, foot, and spine orthotics effective July 1, 2025.

Action Required

Action needed
By July 1, 2025: Billing team must update systems with new Humana Virginia Medicaid orthotic coverage criteria. Update prior authorization requirements for custom orthotics requiring detailed clinical documentation (L2106, L2108, L2126, L2128, L3649). Add medical necessity checklists to EMR for static AFOs, hip orthoses, and cervical halos. Train providers on required goniometer measurements and stretching program documentation for plantar flexion contractures. Claims without proper documentation will be denied.

Affected Billing Codes

L2106
L2108
L4631
L1640
L1680
L1681
L1685
L1686
L1690
L2060
L1836
L2126
L2128
L2132
L2134
L2136
L1700
L1710
L1720
L1730
L1755
L2525
L2526
L2627
L2628
L3050
L3060
L4398
L3202
L3203
L3204
L3649
L3212
L3213
L3214
L0810
L0820
L0830
L0859