CROW Orthosis

BT Orthotic Labs, Inc.

Description

Title:

CROW Orthosis

Creator:

BT Orthotic Labs, Inc.

Date:

7/1/2014

Text:

Good afternoon
Question for the panel, I find myself in need of guidance. We've
recently  billed out to Medicare for a Crow orthoses L4631 with ICD-9
codes 255.02, 356.9, 824.4 and 733.82. We were denied and deemed
medically unnecessary. It was my understanding that Medicare
beneficiaries are eligible for a  Crow Orthoses L4631  under these
conditions.
1- Diabetic type II
2- Perpherial neuropathy
3- Severe deformity of the foot and ankle due to a sensory neuropathic
arthropathy


Which ICD-9 codes  support medical necessity for L4631? The LCD includes
only  713.5 ARTHROPATHY ASSOCIATED WITH NEUROLOGICAL DISORDERS and is
there a specific order ?


All the best
Melissa Irizarry
Office manager
 BT Orthotic Labs, Inc.

                          

Citation

BT Orthotic Labs, Inc., “CROW Orthosis,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/236520.