LCDs/ L-codes/ ICD-9s Complete RESPONSES
Randy McFarland
Description
Collection
Title:
LCDs/ L-codes/ ICD-9s Complete RESPONSES
Creator:
Randy McFarland
Date:
6/21/2013
Text:
-----Original Message-----
From: Randy McFarland [mailto:<Email Address Redacted>]
Sent: Monday, June 03, 2013 6:02 PM
To: <Email Address Redacted>
Subject: LCDs/ L-codes/ ICD-9s RESPONSES
ORIGINAL POST
Is anyone aware if there exists an online quick-reference spreadsheet that
cross-references the following three lists?
1. L-codes
2. LCDs (Local Coverage Determinations- with abbreviated
descriptions/requirements)
3. ICD-9 diagnosis codes
As you know, certain procedure codes have LCD requirements which also
include a list of diagnosis codes that must be associated with the patients'
orthotic or prosthetic prescription. If everything doesn't match up,
Medicare has an excuse to deny our efforts for the patients. My billing
software system is capable of giving me an alert when I enter an L-code,
but it seems like I might be duplicating effort if all the research for each
procedure code has already been done. Has Medicare or anyone already
developed a quick-reference spreadsheet that would save me from searching
through all the LCD pages, requirements and ICD-9 codes for each procedure
code? I'll post responses. Randy McFarland, CPO Sunny Hills Prosthetic
Services, Inc. Fullerton, CA
RESPONSES
Hope this helps! www.DMEPCA.com
<URL Redacted>
Ingenix optumcoding.com makes a cross coder. Comes in print and cd or
online. They use the lcd to cross the icd to l code.
I go from memory now. And read the lcd's every week.
Randy, don't forget, whatever you have in ICD9 Dx MUST be supported by MD
clinical notes. We just lost out on a situation like this, when we had
neuropathy ICD9 Dx on Rx and mentioned in clinicals, but as long word is
neuropathy WITH CALLUS FORMATION, and THAT was not mentioned in notes, and
Doc refused to amend clinicals, we ate the shoes and inserts.
From: Randy McFarland [mailto:<Email Address Redacted>]
Sent: Monday, June 03, 2013 6:02 PM
To: <Email Address Redacted>
Subject: LCDs/ L-codes/ ICD-9s RESPONSES
ORIGINAL POST
Is anyone aware if there exists an online quick-reference spreadsheet that
cross-references the following three lists?
1. L-codes
2. LCDs (Local Coverage Determinations- with abbreviated
descriptions/requirements)
3. ICD-9 diagnosis codes
As you know, certain procedure codes have LCD requirements which also
include a list of diagnosis codes that must be associated with the patients'
orthotic or prosthetic prescription. If everything doesn't match up,
Medicare has an excuse to deny our efforts for the patients. My billing
software system is capable of giving me an alert when I enter an L-code,
but it seems like I might be duplicating effort if all the research for each
procedure code has already been done. Has Medicare or anyone already
developed a quick-reference spreadsheet that would save me from searching
through all the LCD pages, requirements and ICD-9 codes for each procedure
code? I'll post responses. Randy McFarland, CPO Sunny Hills Prosthetic
Services, Inc. Fullerton, CA
RESPONSES
Hope this helps! www.DMEPCA.com
<URL Redacted>
Ingenix optumcoding.com makes a cross coder. Comes in print and cd or
online. They use the lcd to cross the icd to l code.
I go from memory now. And read the lcd's every week.
Randy, don't forget, whatever you have in ICD9 Dx MUST be supported by MD
clinical notes. We just lost out on a situation like this, when we had
neuropathy ICD9 Dx on Rx and mentioned in clinicals, but as long word is
neuropathy WITH CALLUS FORMATION, and THAT was not mentioned in notes, and
Doc refused to amend clinicals, we ate the shoes and inserts.
Citation
Randy McFarland, “LCDs/ L-codes/ ICD-9s Complete RESPONSES,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/235270.
