Re: New Medicare codes
Traci Berkman
Description
Collection
Title:
Re: New Medicare codes
Creator:
Traci Berkman
Date:
3/18/2014
Text:
Sorry to not have put this out there in the last email.
The consensus is that unless the device has been molded, trimmed, or bent to that specific patient the new OTS code should be used.
Thanks for those who responded.
Traci Berkman Romano, MSPO, CPO
Harry J. Lawall and Son, Inc
215-338-6611
Fax: 215-338-3715
>>> Traci Berkman 03/18/14 08:36AM >>>
Thanks for all your responses. Everyone's response is what we believed to be true for the Medicare verbiage.
Traci Berkman Romano, MSPO, CPO
Harry J. Lawall and Son, Inc
215-338-6611
Fax: 215-338-3715
>>> Traci Berkman < <Email Address Redacted> > 03/17/14 10:11AM >>>
Looking for some clarification.
With the new Medicare codes for some of our OTS devices we are looking to clarify Medicare's definition of customized. For example, To use code L0627 it is an item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise.
Does the list believe that our demonstration of donning/doffing, explaining care and use, and donning on patient to ensure proper fit count as customized though a brace may not be trimmed, bent or molded?
Any advice on how others are handling these new codes would be great.
Thanks
Traci Berkman Romano, MSPO, CPO
Harry J. Lawall and Son, Inc
215-338-6611
Fax: 215-338-3715
Confidentiality Notice: The information contained in this electronic mail transmission is intended solely for the addressee(s) named above. If you are not an addressee, or responsible for delivering this transmission to an addressee, you have received this transmission in error and you are strictly prohibited from reading or disclosing it. The information contained in this transmission is highly confidential and may be subject to legally enforceable privileges. Unless you are an addressee, or associated with an addressee for delivery purposes, you may violate these privileges and may subject you to liability if you do anything with this transmission other than immediately contact us by telephone at (800)735-4627. Thank you.
The consensus is that unless the device has been molded, trimmed, or bent to that specific patient the new OTS code should be used.
Thanks for those who responded.
Traci Berkman Romano, MSPO, CPO
Harry J. Lawall and Son, Inc
215-338-6611
Fax: 215-338-3715
>>> Traci Berkman 03/18/14 08:36AM >>>
Thanks for all your responses. Everyone's response is what we believed to be true for the Medicare verbiage.
Traci Berkman Romano, MSPO, CPO
Harry J. Lawall and Son, Inc
215-338-6611
Fax: 215-338-3715
>>> Traci Berkman < <Email Address Redacted> > 03/17/14 10:11AM >>>
Looking for some clarification.
With the new Medicare codes for some of our OTS devices we are looking to clarify Medicare's definition of customized. For example, To use code L0627 it is an item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise.
Does the list believe that our demonstration of donning/doffing, explaining care and use, and donning on patient to ensure proper fit count as customized though a brace may not be trimmed, bent or molded?
Any advice on how others are handling these new codes would be great.
Thanks
Traci Berkman Romano, MSPO, CPO
Harry J. Lawall and Son, Inc
215-338-6611
Fax: 215-338-3715
Confidentiality Notice: The information contained in this electronic mail transmission is intended solely for the addressee(s) named above. If you are not an addressee, or responsible for delivering this transmission to an addressee, you have received this transmission in error and you are strictly prohibited from reading or disclosing it. The information contained in this transmission is highly confidential and may be subject to legally enforceable privileges. Unless you are an addressee, or associated with an addressee for delivery purposes, you may violate these privileges and may subject you to liability if you do anything with this transmission other than immediately contact us by telephone at (800)735-4627. Thank you.
Citation
Traci Berkman, “Re: New Medicare codes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/236166.
