Re: Carbon AFO's
Debra Adams
Description
Collection
Title:
Re: Carbon AFO's
Creator:
Debra Adams
Date:
9/11/2012
Text:
Received many clarifications on my question - THANK YOU.
UPDATE:
Received many clarifications on my question - THANK YOU.
I believe the most appropriate answers to pass on are that the L2820 code is an addition to a plastic AFO and the L1932 is a carbon fiber, as well as that the L1932 is an off shelf AFO and is not intended to have an additional codes. I have used the additional code of L2820 for Kaiser and it is accepted. I guess for Medicare, it does not fit the guidelines.
However, also received responses that is has worked from a practitioner in Maine. Had a suggestion to use K0672, replacement for soft padding kit.
Had responses from people that have debated trying to bill, but feel it is too inviting of scrutiny.
Thank you all again.
Original Question - Have had two denials on adding below knee padding on an Allard Toe-Off (L2820) ? Has anyone had this work? The padding is purchased separately, so I would think we would get to bill for it also?
Thank you,
Debra Adams
Innovative Prosthetics & Orthotics
65 Montgomery Drive
Santa Rosa, CA 95404
707 544-5347
Fax 707 544-5379
UPDATE:
Received many clarifications on my question - THANK YOU.
I believe the most appropriate answers to pass on are that the L2820 code is an addition to a plastic AFO and the L1932 is a carbon fiber, as well as that the L1932 is an off shelf AFO and is not intended to have an additional codes. I have used the additional code of L2820 for Kaiser and it is accepted. I guess for Medicare, it does not fit the guidelines.
However, also received responses that is has worked from a practitioner in Maine. Had a suggestion to use K0672, replacement for soft padding kit.
Had responses from people that have debated trying to bill, but feel it is too inviting of scrutiny.
Thank you all again.
Original Question - Have had two denials on adding below knee padding on an Allard Toe-Off (L2820) ? Has anyone had this work? The padding is purchased separately, so I would think we would get to bill for it also?
Thank you,
Debra Adams
Innovative Prosthetics & Orthotics
65 Montgomery Drive
Santa Rosa, CA 95404
707 544-5347
Fax 707 544-5379
Citation
Debra Adams, “Re: Carbon AFO's,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/233921.
