Masshealth CROW boots

Troy Fink, CPO

Description

Title:

Masshealth CROW boots

Creator:

Troy Fink, CPO

Date:

9/11/2013

Text:

Have any of you practitioners in Massachusetts had problems billing Masshealth (Medicaid) for bilateral CROW boots? I recently delivered bilateral CROWs, and one was denied as their guideline states the limit is one per year. A reasonable person might interpret that it would be one per leg per year.....

We billed it as L4631, Quantity 2, modifier RTLT.

Has anybody encountered this? If so, did reasonableness prevail?

Any help would be greatly appreciated. I am not eager to write this off!

btw Dx is bilat charcot foot.

Thanks,


Troy Fink, CPO

Lanesboro, MA
 

 
 

                          

Citation

Troy Fink, CPO, “Masshealth CROW boots,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 4, 2024, https://library.drfop.org/items/show/235598.