4 Easy Steps Simplify Your Cast Coding
Published on Wed Feb 24, 2010
Nail down L category by zooming in on custom- or pre-molded. If you don't keep orthotic types like replicate molding,direct molding, and pre-molded straight -- and attach the appropriate diagnosis code, you could be kicking yourself when the EOB turns up no pay. Instead, follow this step-by-step guide to landing the correct orthotic code combo to net your podiatrist the payment he ethically deserves. 1: Look to Maker to Decide L Category Select the appropriate HCPCS code for the orthotic from the section titled Orthotics, Foot (Orthopedic Shoes), Insert, Removable, Molded to Patient Model. Pay attention to whether the insert is custom-molded or pre-molded. Use that detail to choose between these categories: You may bill for each foot. Most insurance companies prefer two line items: for instance, L3000-LT (Left side) and L3000-RT (Right side), says Hoda Henein, CHBME, CPL, president and CEO, Active Management in College Point, N.Y. Check Model Base [...]