Electrical wheel chair and KAFO
Ingvar
Description
Collection
Title:
Electrical wheel chair and KAFO
Creator:
Ingvar
Date:
3/22/2013
Text:
Hi all
I had several requests to post responses to my post from yesterday.
Question was, for Region D, if a Pt had a power wheelchair, will same Pt
be covered for a KAFO?
I think, best answer actually came from my insurance gal.
Igor - Below is copied from the Medicare policy
(if they have power WC, they are considered non-ambulatory)
AFOs AND KAFOs USED DURING AMBULATION:
Ankle-foot orthoses (AFO) described by codes L1900, L1902-L1990,
L2106-L2116, L4350, L4360, L4386 and L4631 are covered _*for ambulatory
beneficiaries*_ with weakness or deformity of the foot and ankle, who
require stabilization for medical reasons, and have the potential to
benefit functionally.
Knee-ankle-foot orthoses (KAFO) described by codes L2000-L2038,
L2126-L2136 and L4370 are covered _*for ambulatory beneficiaries *_for
whom an ankle-foot orthosis is covered and for whom additional knee
stability is required.
Region C allows AMBULATORY AND *TRANSFERS.*.
Hope this helps.
I. Lesko, LPO
PMI O&P
Seattle, WA
Igor
I had several requests to post responses to my post from yesterday.
Question was, for Region D, if a Pt had a power wheelchair, will same Pt
be covered for a KAFO?
I think, best answer actually came from my insurance gal.
Igor - Below is copied from the Medicare policy
(if they have power WC, they are considered non-ambulatory)
AFOs AND KAFOs USED DURING AMBULATION:
Ankle-foot orthoses (AFO) described by codes L1900, L1902-L1990,
L2106-L2116, L4350, L4360, L4386 and L4631 are covered _*for ambulatory
beneficiaries*_ with weakness or deformity of the foot and ankle, who
require stabilization for medical reasons, and have the potential to
benefit functionally.
Knee-ankle-foot orthoses (KAFO) described by codes L2000-L2038,
L2126-L2136 and L4370 are covered _*for ambulatory beneficiaries *_for
whom an ankle-foot orthosis is covered and for whom additional knee
stability is required.
Region C allows AMBULATORY AND *TRANSFERS.*.
Hope this helps.
I. Lesko, LPO
PMI O&P
Seattle, WA
Igor
Citation
Ingvar, “Electrical wheel chair and KAFO,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/234818.
