Orthosis replacement policy
Gil Gulbrandson
Description
Collection
Title:
Orthosis replacement policy
Creator:
Gil Gulbrandson
Date:
3/22/2011
Text:
Good morning all,
I have a Medicare patient with a knee orthosis that is no longer fitting her
properly, with profound migration to her ankle within a few steps. She clearly
needs a new design for which I have designed. The question is, the
existing orthosis is 4.5 years old. As I understand it, Medicare will not pay
for a new one inside of five years. If I document the change in limb size, can I
bill for this KO successfully...or do we have to wait for the 5 years which
comes up some time in October-November.
Thanks for you thoughts.
Gil Gulbrandson, CO,LO
Gulbrandson O&P
Cary, IL 60013
I have a Medicare patient with a knee orthosis that is no longer fitting her
properly, with profound migration to her ankle within a few steps. She clearly
needs a new design for which I have designed. The question is, the
existing orthosis is 4.5 years old. As I understand it, Medicare will not pay
for a new one inside of five years. If I document the change in limb size, can I
bill for this KO successfully...or do we have to wait for the 5 years which
comes up some time in October-November.
Thanks for you thoughts.
Gil Gulbrandson, CO,LO
Gulbrandson O&P
Cary, IL 60013
Citation
Gil Gulbrandson, “Orthosis replacement policy,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/232416.
