Re: Transfemoral socket design and fitting.

Re: Transfemoral socket design and fitting.

JAMES M MCCOY

6/20/2001

Al,

I understand your statements regarding quadrilateral shaped sockets that
cup the ischial tuberosity. However, I do not agree that it is
'therefore ischial containment' . I believe anyone doing this should
be reported to HCFA for fraud. I am puzzled by your statements regarding
narrow ML being discarded and not deemed a necessary requirement to
bill L5649. To the best of my knowledge, HCFA is the only entity with
the authority to change the descriptions for HCFA codes. If they have
made the changes you have stated above, then it is news to me. I suspect
these statements are personal opinion. Is my suspicion correct or has
HCFA changed the description for L5649? It appears we simply have two
different interpretations of the HCFA description for L5649.

James M. Mc Coy, C.P., L.P., FAAOP

On Tue, 19 Jun 2001 07:00:35 EDT <Email Address Redacted> writes:
> In a message dated 6/18/2001 8:55:23 PM Central Daylight Time,
> <Email Address Redacted> writes:
>
>
> > Your description of HCFA code L5649 is incomplete. It not only
> states
> > ischial containment. It also states Narrow M-L. I believe Ivan
> Long
> >
>
> Jim,
>
> I concur, however numerous discussions have been about quadrilateral
> shaped
> sockets that cup the ischial tuberosity - therefore ischial
> containment.
> The second part of the HCFA description a socket with a narrow ML is
> not
> deemed a necessary requirement to bill L5649. A quadrilateral socket
> does not
> have a narrow ML, but it can be made to cup the ischial tuberosity -
> ischial
> containment.
>
> Narrow M-L is a discarded part of the of the HCFA description for
> billing
> under L5649 and that is why it was not mentioned.
>
> Al