Misc. Codes
Richard Butler
Description
Collection
Title:
Misc. Codes
Creator:
Richard Butler
Date:
2/20/2018
Text:
Hello all.
I have a 6 year old dynamic arm that I just did a socket replacement on. Shortly after the socket was done the lift strap in elbow broke. I sent it to Bock for repair and was told they can't repair it until I have a 60 mos service done to it. The service is supposedly mandated by the FDA and will cost me $16k and change. My question is, does anybody have any success in billing Medicare for this service or anything on a misc. Code with that high of a charge. I did not replace the elbow initially as it was in excellent shape and the pt wanted to keep coins down. Also, the service is still less than 60 % of the new elbow cost. Before i have the service done i wanted to see what the odds of getting paid were.
Thanks for your input,
DJ Butler, CPO
Adaptive Prosthetic & Orthotic Technologies, inc.
I have a 6 year old dynamic arm that I just did a socket replacement on. Shortly after the socket was done the lift strap in elbow broke. I sent it to Bock for repair and was told they can't repair it until I have a 60 mos service done to it. The service is supposedly mandated by the FDA and will cost me $16k and change. My question is, does anybody have any success in billing Medicare for this service or anything on a misc. Code with that high of a charge. I did not replace the elbow initially as it was in excellent shape and the pt wanted to keep coins down. Also, the service is still less than 60 % of the new elbow cost. Before i have the service done i wanted to see what the odds of getting paid were.
Thanks for your input,
DJ Butler, CPO
Adaptive Prosthetic & Orthotic Technologies, inc.
Citation
Richard Butler, “Misc. Codes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/208718.
