L-Code Question
LEOPOLDO FUENTES, CPO
Description
Collection
Title:
L-Code Question
Creator:
LEOPOLDO FUENTES, CPO
Date:
4/11/2012
Text:
Hi to all,
A local Health Insurance Company are excluding from payment the following L
Codes on a permanent transtibial Prosthesis stating they are not necessary.
L5629 Addition to Lower Extremity, Below Knee, Acrylic Socket
L5704 Custom Shaped Protective Cover, Below Knee
L5962 Addition, Endoskeletal System, Below Knee, Flexible Protective Outer
Surface covering System
We preparing for the appealing process and would like to have documentation
as to why these are necessary on a TT Prosthesis. I called AOPA and they
could not provided any additional information on these L-Codes other then
the stated description. As a prosthetist I have enough arguments to appeal
and justify these L Codes, but I would like to hear from you.
Thanks!
Eddy Leopoldo Fuentes, C.P.O.
CLINICAL DIRECTOR
Diabetic Solutions, Corp.
Calle 3 D-12 Cordova Davila
Urb. Flamboyan,Manati, PR 00674
Office Phone: 1-787-884-3382
Fax: 1-787-854-2000
Cel. 1-787-317-7525
<mailto:<Email Address Redacted>>
<Email Address Redacted>
< <URL Redacted>> www.diabeticsolutionspr.net
NOTA DE CONFIDENCIALIDAD: Este mensaje incluyendo cualquier anejo es para
uso exclusivo del (los) destinatario (s) y puede incluir información
confidencial y/o información de salud protegida. La Ley Federal (HIPAA)
establece que el destinatario está obligado a mantener la información
confidencial y segura. HIPAA prohíbe y castiga cualquier divulgación a
terceras personas sin autorización del afiliado o permitido por ley. Si
usted no es el destinatario, redirija este mensaje al remitente, y destruya
cualquier copia existente del mensaje original.
CONFIDENTIALITY NOTICE: This e-mail message, including attachments, is
for the sole use of the intended recipient(s) and may contain confidential
and/or protected health information. Under the Federal Law (HIPAA), the
intended recipient is obligated to keep this information secure and
confidential. Any disclosure to third parties without authorization from the
member or as permitted by law is prohibited and punishable under Federal
Law. If you are not the intended recipient, please contact the sender by
reply e-mail and destroy all copies of the original message.
A local Health Insurance Company are excluding from payment the following L
Codes on a permanent transtibial Prosthesis stating they are not necessary.
L5629 Addition to Lower Extremity, Below Knee, Acrylic Socket
L5704 Custom Shaped Protective Cover, Below Knee
L5962 Addition, Endoskeletal System, Below Knee, Flexible Protective Outer
Surface covering System
We preparing for the appealing process and would like to have documentation
as to why these are necessary on a TT Prosthesis. I called AOPA and they
could not provided any additional information on these L-Codes other then
the stated description. As a prosthetist I have enough arguments to appeal
and justify these L Codes, but I would like to hear from you.
Thanks!
Eddy Leopoldo Fuentes, C.P.O.
CLINICAL DIRECTOR
Diabetic Solutions, Corp.
Calle 3 D-12 Cordova Davila
Urb. Flamboyan,Manati, PR 00674
Office Phone: 1-787-884-3382
Fax: 1-787-854-2000
Cel. 1-787-317-7525
<mailto:<Email Address Redacted>>
<Email Address Redacted>
< <URL Redacted>> www.diabeticsolutionspr.net
NOTA DE CONFIDENCIALIDAD: Este mensaje incluyendo cualquier anejo es para
uso exclusivo del (los) destinatario (s) y puede incluir información
confidencial y/o información de salud protegida. La Ley Federal (HIPAA)
establece que el destinatario está obligado a mantener la información
confidencial y segura. HIPAA prohíbe y castiga cualquier divulgación a
terceras personas sin autorización del afiliado o permitido por ley. Si
usted no es el destinatario, redirija este mensaje al remitente, y destruya
cualquier copia existente del mensaje original.
CONFIDENTIALITY NOTICE: This e-mail message, including attachments, is
for the sole use of the intended recipient(s) and may contain confidential
and/or protected health information. Under the Federal Law (HIPAA), the
intended recipient is obligated to keep this information secure and
confidential. Any disclosure to third parties without authorization from the
member or as permitted by law is prohibited and punishable under Federal
Law. If you are not the intended recipient, please contact the sender by
reply e-mail and destroy all copies of the original message.
Citation
LEOPOLDO FUENTES, CPO, “L-Code Question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 27, 2024, https://library.drfop.org/items/show/233460.
