FW: [OANDP-L] L2820 and L2275

FW: [OANDP-L] L2820 and L2275

Sarah van den Bosch

11/10/2008

I spoke with AOPA on this issue last week. Apparently, when the new knee
brace policy came into effect several additional codes were not only deemed
not payable under knee brace base codes, but they accidentally included AFO
base codes as well. I was told to simply do a telephone or fax reopening as
this is an issue that everyone is aware of at the moment. I’ve done the fax
reopening, but won’t know the resolution for a while to come. This does not
apply to L2770, which had simply been deemed not payable. Period. Ever. AOPA
is currently lobbying to get that changed. By the way, none of this is
listed on the Medicare site nor on any update I’ve received from Medicare.

 

From: Andrea and Rick Ferraco [mailto:<Email Address Redacted>]
Sent: Friday, November 07, 2008 5:10 PM
To: Sarah van den Bosch
Subject: Fwd: [OANDP-L] L2820 and L2275

 

 

 

Begin forwarded message:





From: doer human <HYPERLINK mailto:<Email Address Redacted> <Email Address Redacted> >

Date: November 6, 2008 3:05:46 PM PST

To: HYPERLINK mailto:<Email Address Redacted> <Email Address Redacted>

Subject: [OANDP-L] L2820 and L2275

Reply-To: doer human <HYPERLINK mailto:<Email Address Redacted> <Email Address Redacted> >

 

Hello everyone,

 

I am in region D Medicare. As of today, I have a blanket denial of every

single L2275 and L2820 codes for AFOs. Not medically necessary.

Any ideas what's going on? So far, I had 8 of those denied just like this.

 

Thanks in advance

 

I. Lesko, LPO