L5420

John T. Brinkmann

Description

Title:

L5420

Creator:

John T. Brinkmann

Date:

7/9/2004

Text:

List Members,

 Original Question:

I was just told that L5420 is automatically denied by our DMERC as a non-covered item. Is this the usual experience? I provided a plastic post-op system (Flo-Tech) a week after surgery (when patient was out of the hospital).

 John Brinkmann, CPO

 Answer: This code is only covered for patients in the hospital immediately after surgery. Here is a response from a manufacturer of plastic post-op systems:

Rejections of this type are fairly routine, if you provide the service after discharge. You should bill it as a preparatory L5585 + L5460 plus components, alignable system, etc. You will be able to provide a custom preparatory prosthesis after 90 days.










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Citation

John T. Brinkmann, “L5420,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/223380.