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HCPCS Code for Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

HCPCS code L4361 for Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf as maintained by CMS falls under Other Lower Extremity Orthotics .

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Official Long Descriptor

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf

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L4360 vs L4361
[QUOTE="podcoder70, post: 496639, member: 584850"] Your vendor is wrong, as they often are, they are there to make a sale, I make it a rule to always do my own research. L4360 and L4361 are both pneu... [ Read More ]
L4360 vs L4361
Your vendor is wrong, as they often are, they are there to make a sale, I make it a rule to always do my own research. L4360 and L4361 are both pneumatic. They usually have a small pouch in front fi... [ Read More ]
L4360 vs L4361
Can someone tell me the difference between L4360 and L4361. A vendor told us L4360 was with no air and L4361 was with air? I don't see that in the description of the HCPCS book. L4360 states it's c... [ Read More ]
Cam walker
This is not the only code. There is also L4361, L4386, L4387. Look at the descriptions and choose the one that best fits the boot being dispensed. Also, with Medicare, by adding the KX modifier, yo... [ Read More ]
DME Billing to Medicare-HELP!!!!!! dme billing medicare billing
Hi! I'm getting continuous rejections from Medicare for DME products. For example, I've billied L4361(Walking Boot) with and without mod NU, RT/LT and without a modifier but Medicare denies the claim... [ Read More ]
DME bundling
I posted this under the Modifier thread originally, but I wonder if I'd have better luck with other ortho coders: I have a few claims that were billed with DME L1902 and L4361 on the same day where ... [ Read More ]
Mod 59 with DME
I have a few claims that were billed with DME L1902 and L4361 where BCBS and Humana denied L1902 for bundling. They were both billed with KX and a laterality modifier. We appealed, and Humana paid but... [ Read More ]
29540 cpt code and e&m
[QUOTE="Cynthia Hughes, post: 414329, member: 18048"]CPT Assistant has advised that application of an off-the-shelf product such as an air splint is included in the E/M service and not separately repo... [ Read More ]
29540 cpt code and e&m
[b]29540 cpt code and E&M[/b] [QUOTE="tthompson16, post: 414289, member: 364524"]I have a patient that came in to see our Family Practice physician with a rolled ankle. Our doctor ordered an X-Ray an... [ Read More ]
L4360 - widespread probe
Yes. Also the doctor is licensed to dispense DME in her office as well. I am aware there are stickers on the DME products the office orders, but unless the doctors dictates that it was customized to... [ Read More ]
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