coding for hyperextension brace Region C

Paula Pivko

Description

Title:

coding for hyperextension brace Region C

Creator:

Paula Pivko

Date:

7/3/2013

Text:

Hi everyone we have fit a patient with a CASH brace and billed L0472. Medicare sent us their letter stating that the claim lacks information which is needed to process the claim. I had billing use KX modifer and received the same result. I'm not sure now what Medicare is looking for. Dx code is 805.2. I don't think CG modifers apply since this isn't an elastic garment-but should I use them? I was also going to have billing state the manufacturer and type of CASH to show this is indeed a Medicare approved item. Anyone else run into this issue? Thank you. Paula Martinek, LPO.
                          

Citation

Paula Pivko, “coding for hyperextension brace Region C,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/235341.