Arizona AFO coding policy alert
Paul Prusakowski
Description
Collection
Title:
Arizona AFO coding policy alert
Creator:
Paul Prusakowski
Date:
12/4/2008
Text:
Thanks to Elizabeth Carlstrom for forwarding this information:
December 04, 2008
Ankle-Foot Orthoses - Arizona-Type - Correct Coding
Arizona AFO is a company that manufactures a line of custom fabricated
ankle-foot orthoses. Other companies manufacture similar products. The
Pricing, Data Analysis, and Coding (PDAC) contractor has recently reviewed
the Arizona AFO line of products and determined the appropriate HCPCS codes
to be used when billing for these and similar items.
For the Arizona Short, Arizona Tall, Arizona Extended, Arizona Unweighting,
and similar custom fabricated braces, only the following codes should be
used:
L1940 Ankle foot orthosis, plastic or other material, custom fabricated
L2330 Addition to lower extremity, lacer molded to patient model, for
custom fabricated orthosis only
L2820 Addition to lower extremity orthosis, soft interface for molded
plastic below knee section
L2330 is used whether the closure is a lacer closure or a velcro closure.
L2820 is used only if a soft interface, either leather or other material, is
provided.
The following codes must NOT be used for these braces:
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom
fabricated
L2275 Addition to lower extremity, varus/valgus correction, plastic
modification, padded/lined
L2280 Addition to lower extremity, molded inner boot
For the Arizona Partial Foot model or similar orthosis, use codes L1940,
L2330, L2820, and L5000 (Partial foot, shoe insert with longitudinal arch,
toe filler).
Questions concerning the coding of other orthoses should be referred to the
Pricing, Data Analysis, and Coding (PDAC) contractor.
Suppliers who have incorrectly coded these orthoses should submit a
voluntary refund to the DME MAC.
Respectfully,
Elizabeth Carlstrom
***NEW ADDRESS ALERT***
O&P BUSINESS SOLUTIONS
Change keeps us Growing & Moving in New Directions
PO Box 862262
Los Angeles, CA 90086
213.482.4062 Office
213.482.4063 Fax
Visit our Website @ www.OPBusinessSolutions.com
December 04, 2008
Ankle-Foot Orthoses - Arizona-Type - Correct Coding
Arizona AFO is a company that manufactures a line of custom fabricated
ankle-foot orthoses. Other companies manufacture similar products. The
Pricing, Data Analysis, and Coding (PDAC) contractor has recently reviewed
the Arizona AFO line of products and determined the appropriate HCPCS codes
to be used when billing for these and similar items.
For the Arizona Short, Arizona Tall, Arizona Extended, Arizona Unweighting,
and similar custom fabricated braces, only the following codes should be
used:
L1940 Ankle foot orthosis, plastic or other material, custom fabricated
L2330 Addition to lower extremity, lacer molded to patient model, for
custom fabricated orthosis only
L2820 Addition to lower extremity orthosis, soft interface for molded
plastic below knee section
L2330 is used whether the closure is a lacer closure or a velcro closure.
L2820 is used only if a soft interface, either leather or other material, is
provided.
The following codes must NOT be used for these braces:
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom
fabricated
L2275 Addition to lower extremity, varus/valgus correction, plastic
modification, padded/lined
L2280 Addition to lower extremity, molded inner boot
For the Arizona Partial Foot model or similar orthosis, use codes L1940,
L2330, L2820, and L5000 (Partial foot, shoe insert with longitudinal arch,
toe filler).
Questions concerning the coding of other orthoses should be referred to the
Pricing, Data Analysis, and Coding (PDAC) contractor.
Suppliers who have incorrectly coded these orthoses should submit a
voluntary refund to the DME MAC.
Respectfully,
Elizabeth Carlstrom
***NEW ADDRESS ALERT***
O&P BUSINESS SOLUTIONS
Change keeps us Growing & Moving in New Directions
PO Box 862262
Los Angeles, CA 90086
213.482.4062 Office
213.482.4063 Fax
Visit our Website @ www.OPBusinessSolutions.com
Citation
Paul Prusakowski, “Arizona AFO coding policy alert,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/229859.
