rotation unit denial
Tracy Fields
Description
Collection
Title:
rotation unit denial
Creator:
Tracy Fields
Date:
12/30/2021
Text:
Hello again, I have another question for you.
We have a young amputee who is pretty active. We coded a Velocity foot
L5981 and L5986 and then also a durashock pylon L5984 and L5988. Each set
of codes are the codes recommended by the distributor.
My claim came back and denied the L5984 (on the durashock) against the
L5986 on my foot as being mutually exclusive. I see per the PTP edit list
that they can be billed together with an appropriate modifier. Do any of
you have any experience with this? If so, what is the modifier or what
justification can be used for that?
Once again, thank you for your help.
Thank you
*Tracy Fields*
Billing Specialist
*First Step Prosthetics*
*Kentucky Location:*
1136 US 31W Bypass, Bowling Green, KY 42101
Phone 270.904.6130 / Fax 270.721.0749
*Tennessee Location:*
728 Nashville Pike, Gallatin, TN 37066
Phone 615.461.8557 / Fax 615.461.8581
Email: <Email Address Redacted>
This facsimile/email transmission contains information, which is
confidential and/or privileged. This information is intended for use only
by the addressee indicated above. If you are not the intended recipient,
please be advised that any disclosure, copying, distribution, or use of the
contents of this information is strictly prohibited, and that any
misdirected or improperly received information must be returned to this
company immediately. Your cooperation in contacting the sender regarding
the erroneous receipt is requested.
We have a young amputee who is pretty active. We coded a Velocity foot
L5981 and L5986 and then also a durashock pylon L5984 and L5988. Each set
of codes are the codes recommended by the distributor.
My claim came back and denied the L5984 (on the durashock) against the
L5986 on my foot as being mutually exclusive. I see per the PTP edit list
that they can be billed together with an appropriate modifier. Do any of
you have any experience with this? If so, what is the modifier or what
justification can be used for that?
Once again, thank you for your help.
Thank you
*Tracy Fields*
Billing Specialist
*First Step Prosthetics*
*Kentucky Location:*
1136 US 31W Bypass, Bowling Green, KY 42101
Phone 270.904.6130 / Fax 270.721.0749
*Tennessee Location:*
728 Nashville Pike, Gallatin, TN 37066
Phone 615.461.8557 / Fax 615.461.8581
Email: <Email Address Redacted>
This facsimile/email transmission contains information, which is
confidential and/or privileged. This information is intended for use only
by the addressee indicated above. If you are not the intended recipient,
please be advised that any disclosure, copying, distribution, or use of the
contents of this information is strictly prohibited, and that any
misdirected or improperly received information must be returned to this
company immediately. Your cooperation in contacting the sender regarding
the erroneous receipt is requested.
Citation
Tracy Fields, “rotation unit denial,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/255811.
