Re: L5930-High Activity Knee Control Frame- HCFA has deemed this a non-covered item as of 05-01-06

Re: L5930-High Activity Knee Control Frame- HCFA has deemed this a non-covered item as of 05-01-06

Gregory M. Straub, CPO

5/8/2006

I have had about 20 replies. The change is that L5930 now requires a K-4 functional level to be a covered item by Medicare when previously it was covered for K3 and K4 functional levels. There are a lot more K3 than K4 Transfemoral amputees out there. My biggest concern is that many non high activity frames have weight limitations of about 220 pounds.The reason we provide high activity frames is often not only due to their activity level but due to their weight as well. We pay more for knees that include high activity frames as well as knees rated for heavier patients.. Are we to assume the liability for providing 221+ pounders with a frame rated only to 220#? Ossur's Total Knee 2000 vs. 2100 is one example.

Greg Straub, CPO


---- Original Message -----
  From: Gregory M. Straub, CPO
  To: <Email Address Redacted>
  Sent: Wednesday, May 03, 2006 6:50 PM
  Subject: L5930-High Activity Knee Control Frame- HCFA has deemed this a non-covered item as of 05-01-06


  I just heard this from a reliable source. Can others confirm? Another stab to the heart of our industry.

  Greg Straub, CPO


------------------------------------------------------------------------------
  I am using the free version of SPAMfighter for private users.
  It has removed 1767 spam emails to date.
  Paying users do not have this message in their emails.
  Try SPAMfighter for free now!