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codedog

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Does insurance companies pay for footwear in ASC ? Like boots, etc EXAMPLE cpt code L3260-surgical boot/shoe,
 
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- ASC Payment Indicator IC

Hi, Trent:

Per EncoderPro,

Special Coverage Instructions
Quantity Alert
ASC Payment Indicator - IC
Not covered by Medicare in any payment system
OPSI Code - E

Translated, it means that it's officially covered when provided in the ASC setting; however, the actual payment is already included in the payment for the primary procedure or service. No incremental cash.

Mary Corkins
TRG
 
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