Another slap in our professional faces!
Herb Shalant
Description
Collection
Title:
Another slap in our professional faces!
Creator:
Herb Shalant
Date:
2/22/2014
Text:
There are additional new code for both pneumatic and non-pneumatic cam
walker (Walking Boot to use the PDAC terminology). The old ones, L4360 and
L4386 respectively, are still active, billable codes.
The ADDED code for Pneumatic Walking Boot is L4361 and here's the PDAC long
description:
Long Description: WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT
JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF.
The New York State Medicare allowance for this is $253.29.
The ADDED code for Non- Pneumatic Walking Boot is L4387 and here's the PDAC
long description:
Long Description: WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS,
WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF- THE-SHELF
The New York State Medicare allowance for this is $145.93.
Now look at the PDAC description for the older, still active established
codes for L4360 and L4386:
Long Description: WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT
JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN
TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC
PATIENT BY AN INDIVIDUAL WITH EXPERTISE.
L4386 uses the same description except for the non-pneumatic change.
Both new codes have the same reimbursement as their older analogous codes.
SO WHAT'S THE DIFFERENCE? The requirement that the item HAS BEEN TRIMMED,
BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT
BY AN INDIVIDUAL WITH EXPERTISE HAS BEEN ELIMINATED.
The reimbursement is the same!!!!
Herb Shalant, C.P.O.
White Plains, NY
---
This email is free from viruses and malware because avast! Antivirus protection is active.
<URL Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
walker (Walking Boot to use the PDAC terminology). The old ones, L4360 and
L4386 respectively, are still active, billable codes.
The ADDED code for Pneumatic Walking Boot is L4361 and here's the PDAC long
description:
Long Description: WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT
JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF.
The New York State Medicare allowance for this is $253.29.
The ADDED code for Non- Pneumatic Walking Boot is L4387 and here's the PDAC
long description:
Long Description: WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS,
WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF- THE-SHELF
The New York State Medicare allowance for this is $145.93.
Now look at the PDAC description for the older, still active established
codes for L4360 and L4386:
Long Description: WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT
JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN
TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC
PATIENT BY AN INDIVIDUAL WITH EXPERTISE.
L4386 uses the same description except for the non-pneumatic change.
Both new codes have the same reimbursement as their older analogous codes.
SO WHAT'S THE DIFFERENCE? The requirement that the item HAS BEEN TRIMMED,
BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT
BY AN INDIVIDUAL WITH EXPERTISE HAS BEEN ELIMINATED.
The reimbursement is the same!!!!
Herb Shalant, C.P.O.
White Plains, NY
---
This email is free from viruses and malware because avast! Antivirus protection is active.
<URL Redacted>
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Herb Shalant, “Another slap in our professional faces!,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/236030.
