Response to L1847 covered?

Troy Fink, CPO

Description

Title:

Response to L1847 covered?

Creator:

Troy Fink, CPO

Date:

2/24/2016

Text:

My original query was:




I have a PT that wants to use KOs with an inflatable air bladder. I have never billed this before (L1847.) I am in region A. I understand from the LCD that the only acceptable diagnosis is knee flexion contracture.

Have you been reimbursed by Medicare for this, or is it problematic?




This morning a kind respondent sent me the following:




Further down in the LCD it actually states There is no proven clinical benefit to the inflatable air bladder incorporated into the design of code L1847 or L1848; therefore, claims for codes L1847 or L1848 will be denied as not reasonable and necessary.




Case closed.


Troy Fink, CPO
 
New England Orthotic & Prosthetic Systems
543 South Main St., Suite 2A
P.O. Box 15
Lanesboro, MA 01237
 
Phone 413-236-8110
Fax 413-236-8113
Cell 413-358-1401
 
<Email Address Redacted>
 
www.neops.com
 
 


                          

Citation

Troy Fink, CPO, “Response to L1847 covered?,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/242009.