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Orthotics - MEDICAID - SOUTH CAROLINA (New)

Humana·SC · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +3 more·Medicaid
Effective date
Jun 3, 2025
We identified it
Jun 24, 2026
Days to comply

Summary

Humana has established a new comprehensive orthotics coverage policy for South Carolina Medicaid members, defining coverage criteria for various orthotic devices including braces, splints, supports, and specialty items. The policy provides specific HCPCS codes and medical necessity requirements for lower extremity, foot, and spine orthotics.

Action Required

Action needed
Before June 3, 2025: Billing team must update systems with new Humana South Carolina Medicaid orthotics coverage criteria for all listed HCPCS codes. Providers must ensure detailed clinical documentation including medical necessity justification, goniometer measurements for AFO contracture treatments, and specific condition requirements are documented in medical records. Update encounter forms to include required documentation elements. 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