what's in a code?
Description
Collection
Title:
what's in a code?
Text:
Hello List
I has always been my understanding that an L-code necessarily describes both
device and service, including measurement and/or casting, fitting, some
follow-up, etc. I have been asked by a non- o and p provider why can't I charge an
appointment or other fitting fee? Where is it written? - it is hard to find
definitive written confirmation. Can anyone point me to such documentation.
On a related note, is there any similar documentation regarding the practice
of coding a device based on function? I know of manufacturers and others who
recommend a fracture brace code for a walking boot or wrist splint if the
diagnosis is a fracture. To me, this is a straightforward misapplication of the
coding system, but I would like to have clear, written material to that effect,
from CMS, DMERCs, SADMERC, or anyone. Thanks for any help.
Tom Heckman CO
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I has always been my understanding that an L-code necessarily describes both
device and service, including measurement and/or casting, fitting, some
follow-up, etc. I have been asked by a non- o and p provider why can't I charge an
appointment or other fitting fee? Where is it written? - it is hard to find
definitive written confirmation. Can anyone point me to such documentation.
On a related note, is there any similar documentation regarding the practice
of coding a device based on function? I know of manufacturers and others who
recommend a fracture brace code for a walking boot or wrist splint if the
diagnosis is a fracture. To me, this is a straightforward misapplication of the
coding system, but I would like to have clear, written material to that effect,
from CMS, DMERCs, SADMERC, or anyone. Thanks for any help.
Tom Heckman CO
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
“what's in a code?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/224438.
