Re: Temps vs. Definitive Sockets
Marty Mandelbaum
Description
Collection
Title:
Re: Temps vs. Definitive Sockets
Creator:
Marty Mandelbaum
Date:
9/3/2001
Text:
Question- What are policies in regards to fitting Temporary vs. Definitive
prostheses
> on a new amputee when silicone suspension mechanisms are used?
> Thanks for your replies
> Marty Mandelbaum CPO
Answers-
Marty, both your posts can be related. If you are using a silicone
suspension
for a medicare receipient then you have to do a definative and then replace
the
socket (there are L-codes for them) when the limb volume decreases.
Irrational
rule since technology has passed it by. One of the outcomes of Chris Lake's
research here at SIU was that amputees that changed to a roll on had more
problem than ones that started out in one. So now if its medicare I deliver
a
definative with the cover split so I can get to the pylon while they are
getting gait training. Then replace the socket in 6-9 months. Terry
Marty, Silicon liners are not covered when providing a PREPARATORY bk/ak,
Mike
Marty - The only guideline that I have seen pertains to the feet and knee.
Temps get SACH feet and single-axis knee. I have used L5667 and L5669 on a
temp and been paid. Bill Arrowood, CP
Marty,
The rule of thumb I follow for socket change is if the cilent is
experiencing
fitting problems which cannot be corrected or modified by use of multiple
ply
sock. Keep in mind medical necessity which can be defined as weight
fluctuation or volume changes supported by documentation. A letter of
medical
necessity is always advisable.
Joel Kempfer CP FAAOP
prostheses
> on a new amputee when silicone suspension mechanisms are used?
> Thanks for your replies
> Marty Mandelbaum CPO
Answers-
Marty, both your posts can be related. If you are using a silicone
suspension
for a medicare receipient then you have to do a definative and then replace
the
socket (there are L-codes for them) when the limb volume decreases.
Irrational
rule since technology has passed it by. One of the outcomes of Chris Lake's
research here at SIU was that amputees that changed to a roll on had more
problem than ones that started out in one. So now if its medicare I deliver
a
definative with the cover split so I can get to the pylon while they are
getting gait training. Then replace the socket in 6-9 months. Terry
Marty, Silicon liners are not covered when providing a PREPARATORY bk/ak,
Mike
Marty - The only guideline that I have seen pertains to the feet and knee.
Temps get SACH feet and single-axis knee. I have used L5667 and L5669 on a
temp and been paid. Bill Arrowood, CP
Marty,
The rule of thumb I follow for socket change is if the cilent is
experiencing
fitting problems which cannot be corrected or modified by use of multiple
ply
sock. Keep in mind medical necessity which can be defined as weight
fluctuation or volume changes supported by documentation. A letter of
medical
necessity is always advisable.
Joel Kempfer CP FAAOP
Citation
Marty Mandelbaum, “Re: Temps vs. Definitive Sockets,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/217411.
