Re: Strap Repair Charges
CAAT-SOLUTIONs
Description
Collection
Title:
Re: Strap Repair Charges
Creator:
CAAT-SOLUTIONs
Date:
6/20/2013
Text:
For clarification of my previous email, I was discussing how to bill straps L4002. I realized after I sent it that I didn't specify that. For other orthotic repairs, labor and parts are billed separately utilizing L4205 & L4210. Use the same process of providing pricing of parts for L4210 to justify billed charges. L4205 will be reimbursed at the current labor allowable for your state.
Nicole Godwin-Burns
Vice President
Compliance AccountAbility & Training Solutions, LLC
P.O. Box 225
Danville, IN 46122
P: (877) 220-9379
On Jun 20, 2013, at 10:49 PM, CAAT-SOLUTIONs < <Email Address Redacted> > wrote:
> Hello,
>
> You must submit MSRP pricing. In the case that it is a custom fabricated repair, they require a price break down of each part (I.e rivets, hook & loop, chaffe, etc) and the time the repair took to justify the amount billed. There is a set allowable for labor L4205 it's just not listed on the fee schedule but rather on a publication. Use the labor cost at your labor allowable plus the cost of your parts to determine the amount billed. I would be happy to provide you the most recent labor fee schedule if you would like?
>
> Thanks,
>
> Nicole Godwin-Burns
> Vice President
> Compliance AccountAbility & Training Solutions, LLC
> P.O. Box 225
> Danville, IN 46122
> P: (877) 220-9379
>
> On Jun 20, 2013, at 12:11 PM, John Paul Coder-Biller < <Email Address Redacted> > wrote:
>
>> I am curious for a response from others as to what they are doing to get
>> paid for strap repairs. Medicare HCPCS codes L4002, L4205 and L4210
>> seem to carry no fee schedule. Any response will be appreciated.
>>
>>
>>
>> John Paul
>> Coding and Billing Specialist
>>
>>
Nicole Godwin-Burns
Vice President
Compliance AccountAbility & Training Solutions, LLC
P.O. Box 225
Danville, IN 46122
P: (877) 220-9379
On Jun 20, 2013, at 10:49 PM, CAAT-SOLUTIONs < <Email Address Redacted> > wrote:
> Hello,
>
> You must submit MSRP pricing. In the case that it is a custom fabricated repair, they require a price break down of each part (I.e rivets, hook & loop, chaffe, etc) and the time the repair took to justify the amount billed. There is a set allowable for labor L4205 it's just not listed on the fee schedule but rather on a publication. Use the labor cost at your labor allowable plus the cost of your parts to determine the amount billed. I would be happy to provide you the most recent labor fee schedule if you would like?
>
> Thanks,
>
> Nicole Godwin-Burns
> Vice President
> Compliance AccountAbility & Training Solutions, LLC
> P.O. Box 225
> Danville, IN 46122
> P: (877) 220-9379
>
> On Jun 20, 2013, at 12:11 PM, John Paul Coder-Biller < <Email Address Redacted> > wrote:
>
>> I am curious for a response from others as to what they are doing to get
>> paid for strap repairs. Medicare HCPCS codes L4002, L4205 and L4210
>> seem to carry no fee schedule. Any response will be appreciated.
>>
>>
>>
>> John Paul
>> Coding and Billing Specialist
>>
>>
Citation
CAAT-SOLUTIONs, “Re: Strap Repair Charges,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235296.
