Shoe Attached to Brace - Coding

Shoe Attached to Brace - Coding

Karen Schebesta, Office Manager

Good Morning Everyone!

I have a a question........when a shoe is ATTACHED to a brace, I use code
L3224 with the LT or RT Modifier and KX, Quantity 1. For the other shoe I have
been using L3215 with the opposite modifier. I am only getting paid on the
shoe attached to the brace. We used to code with L3224 x 2 with the LT RT and
KX modifiers but medicare was not paying anything, for either shoe.

I guess in my mind, I cannot understand how Medicare can only pay for one
shoe for a patient, this seems crazy to me.........

How does everyone else handle this???

Any feedback, comments, advice would be appreciated.

Thanks so very much and have a great day!
Karen Schebesta
Karen A. Schebesta, CPC
Office Manager
Orthotic and Prosthetic Center
226 Cedar Wood Plaza, Route 37 West
Toms River, NJ 08755
Tel. 732-341-9191
Fax 732-341-9222
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