Casting is to be billed out on date of casting. Many payers will pay for 29799 RT/LT or S0395 RT/LT for the casting. Then on the date of dispense the orthotic is billed out. You Mentioned L3020. I... [ Read More ]
I am receiving denials from Medicare DME for the CPT L3000 as CO-16( Claim service lack for information) these claim also contains a remark code M124 (Missing indication of whether the pat... [ Read More ]
I have two questions this morning!
1) We have new physicians to our practice billing a 29425, ambulatory walking boot for application of an offloading soft football cast. I don't t... [ Read More ]
We bill 29799 bilateral for the casting whether it is manual or digital. Not all payers cover it, but many do. Then at the time of dispense, bill out the L3000 RT, L3000 LT. With the e... [ Read More ]
I am hoping to get some advice on what HCPCS and CPT are appropriate to bill for casting/ordering/fitting a custom orthotic. We currently bill L3000 and cast via a digital image. Is there a... [ Read More ]
[QUOTE="SienTC1720, post: 501705, member: 283450"]
Could you provide the location in the claims manual where this policy is located?
I cannot speak to the "claims manual" but here is the link... [ Read More ]
[QUOTE="TammyHF, post: 91823, member: 2386"]
HCPC L3000 through L3030 for custom orthotics which are not covered by Medicare unless it is part of a medically necessary brace. Since they are not cover ... [ Read More ]
[QUOTE="podcoder70, post: 495258, member: 584850"]
Great question! Custom orthotics are not covered by CMS except when attached to a brace. If you are billing CMS to get a denial so that you can bil... [ Read More ]
Hello All! Can someone shed some light on documentation guidelines for orthotics, shoes and boots? I am familiar with CMS guidelines/requirements for diabetic shoes. But out of the blue I have receive... [ Read More ]
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Know when to assign diagnosis codes for chronic conditions. While assigning diagnosis codes for chronic conditions may seem straightforward some confusion remains regarding which conditions should be ... [ Read More ]
AAPC member Jenny Lin CPC CANPC began her career 17 years ago as a home healthcare biller. In 2010 she moved into anesthesia billing at Penn Medicine. Five years ago Lin had the opportunity to become ... [ Read More ]
New ICD10CM codes allow healthcare providers to be clearer about the patients condition. The ICD10CM codes for endometriosis are expanded in the fiscal year FY 2023 update which went into effect Oct. ... [ Read More ]
Make sure your practice is prepared for these new and revised codes. Every year there are always a lot of code changes to learn about and this year is no exception CPT 2023 includes 225 new codes 93 r... [ Read More ]
Understand the impact that DEI has on healthcare organizations and patient outcomes. There has been a recent focus on diversity equity and inclusion DEI throughout a variety of industries and understa... [ Read More ]