L3000-L3030 Foot Orthotics
Jeremy Sprouse
Description
Collection
Title:
L3000-L3030 Foot Orthotics
Creator:
Jeremy Sprouse
Date:
2/28/2006
Text:
I'm a little confused about Medicare and their coverage of Foot Orthotics.
It use to be anyone with a foot deformity and/or weakness would qualify for
orthopedic shoes and/or foot orthotics, if needed. Then I started reading
articles (I believe in O&P Business News.) about Foot Orthotics not being
covered. Then Medicare stopped covering Orthopedic shoes unless it was in
integral part of an Orthosis. So I called Medicare and they said L3000-L3030
is a covered service. So I continued to bill Medicare for the Foot
Orthotics. Since then, I've had patients tell me our competition has told
them Foot Orthotics (L3000 - L3030) are not covered for anyone under
Medicare. I'm a little concerned Medicare has steered me wrong (wouldn't be
the first time). Am I billing for items not covered? If so, why are they
still paying for them instead of rejecting my claims? Thanks to all.
Jeremy Sprouse CPO
It use to be anyone with a foot deformity and/or weakness would qualify for
orthopedic shoes and/or foot orthotics, if needed. Then I started reading
articles (I believe in O&P Business News.) about Foot Orthotics not being
covered. Then Medicare stopped covering Orthopedic shoes unless it was in
integral part of an Orthosis. So I called Medicare and they said L3000-L3030
is a covered service. So I continued to bill Medicare for the Foot
Orthotics. Since then, I've had patients tell me our competition has told
them Foot Orthotics (L3000 - L3030) are not covered for anyone under
Medicare. I'm a little concerned Medicare has steered me wrong (wouldn't be
the first time). Am I billing for items not covered? If so, why are they
still paying for them instead of rejecting my claims? Thanks to all.
Jeremy Sprouse CPO
Citation
Jeremy Sprouse, “L3000-L3030 Foot Orthotics,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 4, 2024, https://library.drfop.org/items/show/226197.