Summary & Overview
HCPCS L8310: Double Truss with Standard Pads
HCPCS Level II code L8310 designates a double truss with standard pads, a form of durable medical equipment used to provide bilateral groin or inguinal support. Nationally, accurate coding of devices like this matters for consistent coverage determinations, claims processing, and tracking the use of non-implantable orthopedic supports. The code is commonly used when suppliers or outpatient clinics furnish an external truss intended for ongoing home use.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise description of the device and its clinical context, payer coverage considerations, and benchmarking elements where available. The publication summarizes typical sites of service and the role of HCPCS Level II coding for durable medical equipment, and it highlights where input data is not available. This brief guides billing, coding, and policy professionals seeking a national-level reference for L8310 and related durable medical equipment processes.
Billing Code Overview
HCPCS Level II code L8310 describes a truss, double with standard pads. This device is an external orthopedic/support appliance designed to provide bilateral inguinal or groin support through dual straps and integrated standard padding. The service type is durable medical equipment / external support device, and the typical site of service is outpatient clinics, durable medical equipment suppliers, and patient home use.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult male presenting to a general surgery or urology clinic with a symptomatic inguinal hernia recently reduced or a chronic scrotal/inguinal bulge causing discomfort during activity. After clinical evaluation and confirmation that the defect is reducible and a hernia repair is deferred or contraindicated (for example, due to comorbidities or patient preference), a custom-fitted external support is ordered. The provider measures the groin/scrotal region, selects a double truss with standard pads for bilateral or higher-support needs, and documents medical necessity, fitting, and patient education. The durable medical equipment supplier dispenses L8310, trains the patient on application and skin checks, and bills the payer with appropriate modifier(s) reflecting the place of service or special circumstances. Typical site of service is outpatient clinic, durable medical equipment supplier, or patient’s home when delivered by the supplier.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Patient has returned to baseline status after a procedure (professional component) | Rarely used for DME; included when a physician documents return to baseline after fitting in professional billing contexts |