Coding questions :Responses

Randy McFarland

Description

Title:

Coding questions :Responses

Creator:

Randy McFarland

Date:

4/14/2004

Text:

ORIGINAL QUESTION:
Hi List members,
1. Do you know if there are fees associated with the new spinal K
codes? Where can they be found?
2. Looking at the Cigna/Medicare (Region D) online fee schedule, I
am unable to find L3620 for a stirrup transfer, although transfers are
still covered in the policy section.
Randy McFarland, CPO
Fullerton, CA

 Update: I just heard from someone at AOPA who told us that the new K
code fees won't be out for a year or so. We need to create and submit
our own customary fees for the K codes when we invoice.


RESPONSES:

If the fee has been set you will find it here:
<URL Redacted>?

Sorry Randy, you have to bill Medicare labor and parts for a stirrup
transfer. Stupid isn't it. I just got the DMERC cd for spring 2004 but
I haven't looked in it yet for the k code fees. Heck, I don't even know
what some of those codes describe. Check out AOPAnet.com and see if
they are listed there.

It is my understanding that the fees associated with the new LSO K
codes will be released in 3Q-04. If true, I would anticipate that the
DMERCs will issue a supplier bulletin in June with these new fees once
CMS completes the gap filling process for these new codes.

I just heard from Kathy Dodson at AOPA that there are currently no fees
connected with the K codes.

                          

Citation

Randy McFarland, “Coding questions :Responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/222896.