AE Socket Change
Bp
Description
Collection
Title:
AE Socket Change
Creator:
Bp
Date:
5/4/2001
Text:
Greetings to the List,
We recently provided an Above Elbow Socket Change for a Medicare
beneficiary. It was a flexible socket with frame. Medicare denied the
claim since it was filed with a L7499 code. Since there is not a socket
replacement code we were forced to use the miscellaneous descriptor code.
Does anyone have experience with getting paid for this procedure? We filed
a review, had a telephone hearing and are now heading toward an
Administrative Law Judge Hearing.
All ideas are appreciated but would like to hear from those with positive
responses from Medicare in the past.
Thanks,
Bob
We recently provided an Above Elbow Socket Change for a Medicare
beneficiary. It was a flexible socket with frame. Medicare denied the
claim since it was filed with a L7499 code. Since there is not a socket
replacement code we were forced to use the miscellaneous descriptor code.
Does anyone have experience with getting paid for this procedure? We filed
a review, had a telephone hearing and are now heading toward an
Administrative Law Judge Hearing.
All ideas are appreciated but would like to hear from those with positive
responses from Medicare in the past.
Thanks,
Bob
Citation
Bp, “AE Socket Change,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/216466.
