Medicare denials for L5673 & L5679
Cindy Anderson
Description
Collection
Title:
Medicare denials for L5673 & L5679
Creator:
Cindy Anderson
Date:
2/18/2014
Text:
Hi All,
Medicare has been denying L5673 & L5679 when billed as replacements. Has anyone else experienced this problem? As I understand it they can be replaced under the original prescription, no doctor order required, which means no doctors records stating why they have to be replaced. We were told during a webinar that one liner could be provided while a new socket/prosthesis was being replaced, and two more were billable with the new prosthesis so I don't know why all the denials.
I was told to file a redetermination and wondered what information I should provide other than the liners were torn and beyond warranty?
Cindy Anderson
Manfredi O&P
<Email Address Redacted>
Medicare has been denying L5673 & L5679 when billed as replacements. Has anyone else experienced this problem? As I understand it they can be replaced under the original prescription, no doctor order required, which means no doctors records stating why they have to be replaced. We were told during a webinar that one liner could be provided while a new socket/prosthesis was being replaced, and two more were billable with the new prosthesis so I don't know why all the denials.
I was told to file a redetermination and wondered what information I should provide other than the liners were torn and beyond warranty?
Cindy Anderson
Manfredi O&P
<Email Address Redacted>
Citation
Cindy Anderson, “Medicare denials for L5673 & L5679,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 23, 2024, https://library.drfop.org/items/show/236065.
