Corset reimbursement
John Wallace, CO
Description
Collection
Title:
Corset reimbursement
Creator:
John Wallace, CO
Text:
Dear List,
Does anyone have any experience getting reimbursed from Medicare for a
custom fabricated lumbo-sacral corset? I know they've changed the L code for this
in the last few years from L0510, which had a listed allowable, to K0638 to
L0629, which does not have an allowable, but is reimbursed upon individual
consideration. I am sending supporting documentation to establish the medical
necessity and writing a narrative describing the steps taken to provide these
supports, including an itemized list of materials used, costs, labor, etc...
The claims processors don't seem to know what to do with this claim. Is
there anyone out there who has been down this road and had a successful
reimbursement outcome? Could you share your experience? I will post a summary of
responses. Thanks!
Keever Wallace
Does anyone have any experience getting reimbursed from Medicare for a
custom fabricated lumbo-sacral corset? I know they've changed the L code for this
in the last few years from L0510, which had a listed allowable, to K0638 to
L0629, which does not have an allowable, but is reimbursed upon individual
consideration. I am sending supporting documentation to establish the medical
necessity and writing a narrative describing the steps taken to provide these
supports, including an itemized list of materials used, costs, labor, etc...
The claims processors don't seem to know what to do with this claim. Is
there anyone out there who has been down this road and had a successful
reimbursement outcome? Could you share your experience? I will post a summary of
responses. Thanks!
Keever Wallace
Citation
John Wallace, CO, “Corset reimbursement,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/227215.
