Medicare denials for L5673 & L5679

Cindy Anderson

Description

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>

                          

Citation

Cindy Anderson, “Medicare denials for L5673 & L5679,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/236065.