Re: TLSO codes
Karl Entenmann, CPO
Description
Collection
Title:
Re: TLSO codes
Creator:
Karl Entenmann, CPO
Date:
11/20/2003
Text:
Tom,
This is a great forum for this question. I am lost as well regarding the
new codes. Since I don't do a lot of off the shelf spinal bracing except
chairbacks, I am not really familiar with the new devices on the market
that these codes must be for. Could you post any responses you get? I
have the Crosswalk list that AOPA sent late last year, but soon after
they sent out a note that said their conversions were not valid, but
never followed up with a new list. Along with that problem, the DMERC
mistakenly reduced the allowables for custom TLSO body jackets to an
amount for off the shelf orthoses and the reimbursement doesn't really
cover the costs to provide custom. I suspect it will be corrected, but
what to do in the meantime. I'd like to see AOPA respond to this
question.
Karl Entenmann, CPO
Preferred O & P
Federal Way, WA
On Wed, 19 Nov 2003 16:41:20 EST <Email Address Redacted> writes:
> Hello List
>
> Our facility has spent many hours throughout the year looking at the
> new
> spine codes and their descriptors, following changes on the CMS web
> site with
> regard to allowables, new K-codes, looking at the SADMERC's Product
> Classification
> List, etc. etc. We are reviewing AOPA's TLSO Matrix. We have had
> many
> discussions among our practitioners. Is there any kind of consensus
> out there as to
> what constitutes a modular segmented spinal system? Can anyone
> give me an
> example of a 3 or 4 panel version? I'm not asking for facts, just
> opinions as to
> a specific product that would be an example. If this is not the
> forum for
> this, kindly let me know.
>
> Tom Heckman CO
>
>
This is a great forum for this question. I am lost as well regarding the
new codes. Since I don't do a lot of off the shelf spinal bracing except
chairbacks, I am not really familiar with the new devices on the market
that these codes must be for. Could you post any responses you get? I
have the Crosswalk list that AOPA sent late last year, but soon after
they sent out a note that said their conversions were not valid, but
never followed up with a new list. Along with that problem, the DMERC
mistakenly reduced the allowables for custom TLSO body jackets to an
amount for off the shelf orthoses and the reimbursement doesn't really
cover the costs to provide custom. I suspect it will be corrected, but
what to do in the meantime. I'd like to see AOPA respond to this
question.
Karl Entenmann, CPO
Preferred O & P
Federal Way, WA
On Wed, 19 Nov 2003 16:41:20 EST <Email Address Redacted> writes:
> Hello List
>
> Our facility has spent many hours throughout the year looking at the
> new
> spine codes and their descriptors, following changes on the CMS web
> site with
> regard to allowables, new K-codes, looking at the SADMERC's Product
> Classification
> List, etc. etc. We are reviewing AOPA's TLSO Matrix. We have had
> many
> discussions among our practitioners. Is there any kind of consensus
> out there as to
> what constitutes a modular segmented spinal system? Can anyone
> give me an
> example of a 3 or 4 panel version? I'm not asking for facts, just
> opinions as to
> a specific product that would be an example. If this is not the
> forum for
> this, kindly let me know.
>
> Tom Heckman CO
>
>
Citation
Karl Entenmann, CPO, “Re: TLSO codes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/222126.
