The LCD and article are stumping me in their verbiage for the medical necessity of the knee brace L1851. The LCD L33318 states:
Knee orthoses L1832, L1833, L1843, L1845, L1851 and L1852 are ... [ Read More ]
[QUOTE="kris1275, post: 494180, member: 666780"]
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipment already being used. ... [ Read More ]
We are a physicians office contracted to provide back and knee braces.
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipm... [ Read More ]
Can anyone advise on billing a replacement brace? I am billing L0650-RA and am receiving a denial for same or similar to equipment already being used. Also the same for a replacement knee brace L1833-... [ Read More ]
I had the same denial - I had never even heard of competitive bidding and I called Noridian and was told that because we are a physicians office and only give spinal/knee braces to our own patients, w... [ Read More ]
We received denial for a knee brace (L1833) from Noridian DME- M115- this item denied when provided to this patient by a non-demonstration provider. It advised there are no appeal rights. We are autho... [ Read More ]
I have been dealing with an ongoing situation with UHC regarding a knee brace dispensed to a patient (L1832). The claim was initially denied due to lack of documentation. I faxed the imagi... [ Read More ]
One of the surgeons I bill for dispenses L1833 knee braces to some of his outpatient surgery patients. United Healthcare commercial plan used to pay for these braces, but around April 2018, it stoppe... [ Read More ]
Let's see.. I didn't even think of this, I wasn't the one who originally posted the charges but good thought!!
M75.... [ Read More ]
I wanted to see what other people thought first.
We originally billed:
L1833 RT KX
With the injection, the doctor that saw this patient actually showed me... [ Read More ]
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Prior authorization is no longer required for certain DME when it risks the health of the patient. The Centers for Medicare 38 Medicaid Services CMS has suspended the prior authorization requirements ... [ Read More ]
Knee orthoses are one of the highest sources of errors a letter from CGS to providers warns and the Medicare Administrative Contractor8217s MAC wants providers to be more carefulwith documentation and... [ Read More ]
Medical claims for offtheshelf orthotic devices have nearly doubled in the past several years which has attracted the attention of the Department of Health and Human Services HSS Office of Inspector G... [ Read More ]