Billing /Reimbursement for compression garments and mastectomy items

Billing /Reimbursement for compression garments and mastectomy items

Kimberly Hill

1/12/2009

Dear listserve-
 
 
1.) Does anyone have experience with billing/reimbursement for off-the-shelf compression stockings/socks/ect (juzo, jobst for NON AMPUTEES)?
 
If so, then
A.) How are you billing these items (L-codes, A-codes, self-pay??)
AND
B.) Are you getting reimbursed (esp. by medicare)?
 
Question Topic # 2:
 
2.) Does anyone have experience with mastectomy items-bras/breast-forms, ect and billing? How many prosthetic breast(s), mastectomy bras does medicare pay for per year?
 
The local DME supplier decided to close shop 1 week ago and I am now getting flooded with compression garment and mastectomy supply patients. If you have any andvice or information regarding these items, please share your billing/reimbursement experiences and info. I'd appreciate it.
 
Thanks so much!
 
Kimberly Hill, MSPO, LCO, CP
AP&O, Georgia
 

Kimberly
 
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