Responses on labor code
Stephan Manucharian
Description
Collection
Title:
Responses on labor code
Creator:
Stephan Manucharian
Date:
11/8/2005
Text:
Original Q:
Do we need to obtain Rx for billing L7520, the 15-minute labor code? What
are your practices?
Answers:
Are you billing Medicare? I am not even showing this is a valid code under
their 2005 4th quarter fee schedule? Regardless, CYA and get a script.
Depends upon the insurance. If it's medicare, you do not need an Rx if you
are simply repairing the device to the same level as the original script.
Change the foot from a SAFE to an Energy storing and it's not the same
script, so you need a new one. Replace a broken SAFE with another SAFE and
it's ok without a script. Labor should follow the same rules. If you don't
change the original design and just repair it, you should be fine. Same with
our Medicaid in WA, but private insurances have their own rules. Many follow
Medicare rules but check with the individual insurance companies. Hope that
helps.
We get prescriptions from the Docs for all repairs because it is easier to
get it at the time than to gather it later if requested. It may not be
neccessary but it shows the doctor what is being done to his patient and he
can inquire about it later.
it depends what the healthcare plan requires. Not necessary for Medicare on
previously seen patients, most other insurances require prescriptions for
all services.
Review the supplier manual for the actual guideline but the answer is
now. Any adjustments or repairs are covered under the original
prescription. However, I think you do need a delivery ticket if it is
Medicare. My understanding!
*It is my understanding that we need an Rx to bill for anything. *
*We even send along a quick blurb explaining what was done when we charge
L7510 &/or L7520. It seems to cut off any denial reasons when all the ducks
are in a row up front.*
**
*THANK YOU ALL WHO RESPONDED.*
--
The content of this communication is for exclusive use of the addressee and
may contain confidential, privileged and non-disclosable information. If the
recipient of this communication is not the addressee, such recipient is
strictly prohibited from printing, photocopying, saving on any media,
distributing or otherwise using the information contained herein. If you
received this communication in error, please contact the sender by e-mail,
fax or telephone and destroy this document.
Stephan R. Manucharian, CP
Orthopedic Arts
Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
<Email Address Redacted>
Do we need to obtain Rx for billing L7520, the 15-minute labor code? What
are your practices?
Answers:
Are you billing Medicare? I am not even showing this is a valid code under
their 2005 4th quarter fee schedule? Regardless, CYA and get a script.
Depends upon the insurance. If it's medicare, you do not need an Rx if you
are simply repairing the device to the same level as the original script.
Change the foot from a SAFE to an Energy storing and it's not the same
script, so you need a new one. Replace a broken SAFE with another SAFE and
it's ok without a script. Labor should follow the same rules. If you don't
change the original design and just repair it, you should be fine. Same with
our Medicaid in WA, but private insurances have their own rules. Many follow
Medicare rules but check with the individual insurance companies. Hope that
helps.
We get prescriptions from the Docs for all repairs because it is easier to
get it at the time than to gather it later if requested. It may not be
neccessary but it shows the doctor what is being done to his patient and he
can inquire about it later.
it depends what the healthcare plan requires. Not necessary for Medicare on
previously seen patients, most other insurances require prescriptions for
all services.
Review the supplier manual for the actual guideline but the answer is
now. Any adjustments or repairs are covered under the original
prescription. However, I think you do need a delivery ticket if it is
Medicare. My understanding!
*It is my understanding that we need an Rx to bill for anything. *
*We even send along a quick blurb explaining what was done when we charge
L7510 &/or L7520. It seems to cut off any denial reasons when all the ducks
are in a row up front.*
**
*THANK YOU ALL WHO RESPONDED.*
--
The content of this communication is for exclusive use of the addressee and
may contain confidential, privileged and non-disclosable information. If the
recipient of this communication is not the addressee, such recipient is
strictly prohibited from printing, photocopying, saving on any media,
distributing or otherwise using the information contained herein. If you
received this communication in error, please contact the sender by e-mail,
fax or telephone and destroy this document.
Stephan R. Manucharian, CP
Orthopedic Arts
Brooklyn, NY 11201
718-858-2400; Fax: 718-858-9258;
<Email Address Redacted>
Citation
Stephan Manucharian, “Responses on labor code,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/225763.
