Change tp PDAC Coding verification for AFOs
Seamus Kennedy
Description
Collection
Title:
Change tp PDAC Coding verification for AFOs
Creator:
Seamus Kennedy
Date:
7/3/2012
Text:
PDAC has just announced, via their website www.dmepdac.com/ that the Coding Review for AFOs is now suspended:
The article titled, Coding Verification Reviews for Custom Fabricated Ankle-Foot Orthoses, published May 16, 2012, concerning coding verification for the 3 HCPCS codes: L1940, L1960, L1970, is currently under review by the DME MACs. The September 1, 2012 Effective Date as stated in the article is on hold until further notice. Please monitor the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) and Pricing, Data Analysis and Coding (PDAC) web sites for a final decision following this review.
Séamus Kennedy, BEng(Mech), CPed
www.hersco.com
(800) 301.8275
(718) 391.0416
1st in Customer Satisfaction and Orthopedic Excellence
Custom Orthotics * AFOs * CROWs * Richies * Prosthetics * Shoes
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On Behalf Of <Email Address Redacted>
Sent: Monday, July 02, 2012 5:18 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Coding verification for AFOs
Everyone needs to read this. Looks like we all have to get coding verification for our AFOs under codes L1940, L1960, and L1970.
<URL Redacted>
Quoted from the above link :
Custom fabricated by a supplier: These items are individually fabricated by a supplier from raw materials and are dispensed directly to the patient by the entity that fabricated the orthosis. For coding verification, the supplier must submit written documentation that lists the custom Ankle-Foot Orthosis (AFO) manufacturing processes and all components that will be a part of the base code for that AFO orthosis. The supplier must provide a narrative description of the item to include anatomical reference points, a list of the materials that were used and a description of the custom fabrication process (including photos of the process) used for this type of orthosis. These custom fabricated items must be listed on the PDAC’s DMECS in order to be billed using a custom fabricated code.
Ted A. Trower CPO,
A-S-C Orthotics & Prosthetics
Jackson, MI
www.amputee.com
The article titled, Coding Verification Reviews for Custom Fabricated Ankle-Foot Orthoses, published May 16, 2012, concerning coding verification for the 3 HCPCS codes: L1940, L1960, L1970, is currently under review by the DME MACs. The September 1, 2012 Effective Date as stated in the article is on hold until further notice. Please monitor the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) and Pricing, Data Analysis and Coding (PDAC) web sites for a final decision following this review.
Séamus Kennedy, BEng(Mech), CPed
www.hersco.com
(800) 301.8275
(718) 391.0416
1st in Customer Satisfaction and Orthopedic Excellence
Custom Orthotics * AFOs * CROWs * Richies * Prosthetics * Shoes
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On Behalf Of <Email Address Redacted>
Sent: Monday, July 02, 2012 5:18 PM
To: <Email Address Redacted>
Subject: [OANDP-L] Coding verification for AFOs
Everyone needs to read this. Looks like we all have to get coding verification for our AFOs under codes L1940, L1960, and L1970.
<URL Redacted>
Quoted from the above link :
Custom fabricated by a supplier: These items are individually fabricated by a supplier from raw materials and are dispensed directly to the patient by the entity that fabricated the orthosis. For coding verification, the supplier must submit written documentation that lists the custom Ankle-Foot Orthosis (AFO) manufacturing processes and all components that will be a part of the base code for that AFO orthosis. The supplier must provide a narrative description of the item to include anatomical reference points, a list of the materials that were used and a description of the custom fabrication process (including photos of the process) used for this type of orthosis. These custom fabricated items must be listed on the PDAC’s DMECS in order to be billed using a custom fabricated code.
Ted A. Trower CPO,
A-S-C Orthotics & Prosthetics
Jackson, MI
www.amputee.com
Citation
Seamus Kennedy, “Change tp PDAC Coding verification for AFOs,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/233819.
