New TLSO codes and allowables
Description
Collection
Title:
New TLSO codes and allowables
Text:
Hello List
I am reviewing the 2003 deleted, revised, and new codes from DMERC as well as
the TLSO product classifciation lists from SADMERC. It would that many of the
new prefabricated codes seem to represent both the modular-style bivalve LSOs
and TLSOs that have soft interfaces with reinforcing panels and the more
traditional rigid full anterior and posterior shell type braces. The first
group of orthoses may be quite appropriate and effective in many cases but
certainly seem to require less in terms of multiple fittings, adjustments,
etc. In our practice that second (traditional bivalve prefab) group of braces
usually require two fittings with a reasonable chance of additional follow-up
adjustments, and significant technical time in cutting, grinding, polishing,
strap placement, and other modifications. The case can also be made that they
simply offer more control than the other group. However, it appears that the
new codes and especially the Medicare allowables make no such discrimination.
Have I missed a code that more accurately describes both the product and the
level of service that goes along with it? Are any of the manufacturers
complaining or resubmitting some of their orthoses for reclassification? Any
comments on the new codes and allowables?
Tom Heckman CO
I am reviewing the 2003 deleted, revised, and new codes from DMERC as well as
the TLSO product classifciation lists from SADMERC. It would that many of the
new prefabricated codes seem to represent both the modular-style bivalve LSOs
and TLSOs that have soft interfaces with reinforcing panels and the more
traditional rigid full anterior and posterior shell type braces. The first
group of orthoses may be quite appropriate and effective in many cases but
certainly seem to require less in terms of multiple fittings, adjustments,
etc. In our practice that second (traditional bivalve prefab) group of braces
usually require two fittings with a reasonable chance of additional follow-up
adjustments, and significant technical time in cutting, grinding, polishing,
strap placement, and other modifications. The case can also be made that they
simply offer more control than the other group. However, it appears that the
new codes and especially the Medicare allowables make no such discrimination.
Have I missed a code that more accurately describes both the product and the
level of service that goes along with it? Are any of the manufacturers
complaining or resubmitting some of their orthoses for reclassification? Any
comments on the new codes and allowables?
Tom Heckman CO
Citation
“New TLSO codes and allowables,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/220646.
