Re: Denials of Clamshell Boot Follow-up
Cesar Fernandez
Description
Collection
Title:
Re: Denials of Clamshell Boot Follow-up
Creator:
Cesar Fernandez
Date:
7/18/2014
Text:
356.1 is still not the correct diagnosis. If you look at the AFO/KAFO
policy, it mentions:
Group 2 Paragraph: For HCPCS code L4631:
Group 2 Codes:
713.5 ARTHROPATHY ASSOCIATED WITH NEUROLOGICAL DISORDERS
Cesar Fernandez
Billing Coordinator
Baker Orthotics & Prosthetics
Phone: 817) 332-7313 x 207
Fax: 817) 335-3604
F Comments: This facsimile, including attachments, is covered by the HIPAA
privacy regulations and, as such, is confidential and may be legally
privileged. It is intended for the use of the individual or entity to which
it is addressed and may contain certain information that is privileged,
confidential, and exempt from disclosure under applicable law. If the
reader of this fax is not the intended recipient or agent responsible for
delivering or copying this communication and attachments, you are hereby
notified that any retention, dissemination, distribution, or copying of this
communication and any attachments is strictly prohibited. If you have
received this communication in error, please reply to the sender that you
received it in error, and then destroy it. Thank you for your cooperation.
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Maggie Perez
Sent: Friday, July 18, 2014 7:31 AM
To: <Email Address Redacted>
Subject: [OANDP-L] Denials of Clamshell Boot Follow-up
Thanks for all of the responses I received. Yes, I was talking about a Crow
Boot, L4631. In looking at the two denials that we did receive on these
items, I realize now, through all your input, we used the incorrect
diagnosis codes. We should have used 356.1 and did not. Ugh! Even though
all of the provider medical records indicate that the patient does have
Charcot Arthropathy they still are denying the appeal. Not sure they even
read the notes!!!
Maggie Perez
Office Manager
Capital O & P
246 Pleasant St
Concord, NH 03301
603-226-0106 Ext. 4187
CONFIDENTIAL
The information transmitted in this email is intended only for the person or
entity to which it is addressed and may contain confidential and/or
privileged material. Any review, retransmission, dissemination or other use
of or taking of any action in reliance upon, this information by persons or
entities other than the intended recipient is prohibited. If you received
this email in error, please contact the sender and delete the material from
any computer.
Capital Orthotics and Prosthetics, LLC
246 Pleasant Street, Suite 200, Concord, NH 03301
603-226-0106 / fax 603-226-0845
www.CapitalOandP.com
policy, it mentions:
Group 2 Paragraph: For HCPCS code L4631:
Group 2 Codes:
713.5 ARTHROPATHY ASSOCIATED WITH NEUROLOGICAL DISORDERS
Cesar Fernandez
Billing Coordinator
Baker Orthotics & Prosthetics
Phone: 817) 332-7313 x 207
Fax: 817) 335-3604
F Comments: This facsimile, including attachments, is covered by the HIPAA
privacy regulations and, as such, is confidential and may be legally
privileged. It is intended for the use of the individual or entity to which
it is addressed and may contain certain information that is privileged,
confidential, and exempt from disclosure under applicable law. If the
reader of this fax is not the intended recipient or agent responsible for
delivering or copying this communication and attachments, you are hereby
notified that any retention, dissemination, distribution, or copying of this
communication and any attachments is strictly prohibited. If you have
received this communication in error, please reply to the sender that you
received it in error, and then destroy it. Thank you for your cooperation.
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of Maggie Perez
Sent: Friday, July 18, 2014 7:31 AM
To: <Email Address Redacted>
Subject: [OANDP-L] Denials of Clamshell Boot Follow-up
Thanks for all of the responses I received. Yes, I was talking about a Crow
Boot, L4631. In looking at the two denials that we did receive on these
items, I realize now, through all your input, we used the incorrect
diagnosis codes. We should have used 356.1 and did not. Ugh! Even though
all of the provider medical records indicate that the patient does have
Charcot Arthropathy they still are denying the appeal. Not sure they even
read the notes!!!
Maggie Perez
Office Manager
Capital O & P
246 Pleasant St
Concord, NH 03301
603-226-0106 Ext. 4187
CONFIDENTIAL
The information transmitted in this email is intended only for the person or
entity to which it is addressed and may contain confidential and/or
privileged material. Any review, retransmission, dissemination or other use
of or taking of any action in reliance upon, this information by persons or
entities other than the intended recipient is prohibited. If you received
this email in error, please contact the sender and delete the material from
any computer.
Capital Orthotics and Prosthetics, LLC
246 Pleasant Street, Suite 200, Concord, NH 03301
603-226-0106 / fax 603-226-0845
www.CapitalOandP.com
Citation
Cesar Fernandez, “Re: Denials of Clamshell Boot Follow-up,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 28, 2024, https://library.drfop.org/items/show/236523.