Replies to shoe bill question
M. Britt Spears CPO
Description
Collection
Title:
Replies to shoe bill question
Creator:
M. Britt Spears CPO
Date:
7/19/2004
Text:
Hi list,
I'm posting the replies to the question that I posed about Medicare coverage.
Here is the original question:
>Hi List,
>I have a non-diabetic patient that has a very bad case of RA/OA & has peripheral >neuropathy bilaterally. She also has both of her great toes amputated. Her foot >deformity appears to be simular to the Japanese women that had their feet wrapped. >She has Medicare only and needs shoes & inserts. Is there anything that can be done >utilizing Medicare with her condition? If so, what would be the modifiers?
>I appreciate the responses and will post replies with or w/o names at your option.
>Thanks,
>M. Britt Spears CPO
Here are the responses.(Some preferred to have their names omitted others were not included.)
no codes available...try Mastercard...also call ACOR and maybe they
will
help with costs if you have used them before....Wesley Marlor, Jr.
*******************
No, there is nothing Medicare will do. You must be diabetic to qualify.
*******************
hey,
try a toe filler insert ...L 5000 or 5001...have had
luck with that code in the past. H. Jones c.o.
*******************
Medicare will not pay for the shoes, but they will pay for the toe filler. Use that plus the ABN ( for the shoes ) to determine an acceptable amount for reimbursement. Send then as seperate calims. This is the only way to educate medicare on RA so that one day it is a covered item.
Jerry
I'm posting the replies to the question that I posed about Medicare coverage.
Here is the original question:
>Hi List,
>I have a non-diabetic patient that has a very bad case of RA/OA & has peripheral >neuropathy bilaterally. She also has both of her great toes amputated. Her foot >deformity appears to be simular to the Japanese women that had their feet wrapped. >She has Medicare only and needs shoes & inserts. Is there anything that can be done >utilizing Medicare with her condition? If so, what would be the modifiers?
>I appreciate the responses and will post replies with or w/o names at your option.
>Thanks,
>M. Britt Spears CPO
Here are the responses.(Some preferred to have their names omitted others were not included.)
no codes available...try Mastercard...also call ACOR and maybe they
will
help with costs if you have used them before....Wesley Marlor, Jr.
*******************
No, there is nothing Medicare will do. You must be diabetic to qualify.
*******************
hey,
try a toe filler insert ...L 5000 or 5001...have had
luck with that code in the past. H. Jones c.o.
*******************
Medicare will not pay for the shoes, but they will pay for the toe filler. Use that plus the ABN ( for the shoes ) to determine an acceptable amount for reimbursement. Send then as seperate calims. This is the only way to educate medicare on RA so that one day it is a covered item.
Jerry
Citation
M. Britt Spears CPO, “Replies to shoe bill question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/223423.
