WendyRavan
New
Here is the scenario:
I have a patient that is non-diabetic. This patient has Medicare and has decided to purchase a pair of shoes from our practice. Once again, he is not a diabetic; however, the shoes that he picked are considered a diabetic equivalent shoe. Would I bill this self-pay patient with HCPCS- L3222 x 2 - RLTL as self-pay (statutorily non-covered code with Medicare) OR would I have to obtain an ABN and bill the shoes as A5500 with the GA modifier?
Basically, I am asking, is it appropriate to code as L3222 since the patient is non-diabetic and this HCPCS is for an extra-depth shoe? The shoe provided to the patient was Dr. Comfort - Ranger style - hiking boot.
Thanks!
I have a patient that is non-diabetic. This patient has Medicare and has decided to purchase a pair of shoes from our practice. Once again, he is not a diabetic; however, the shoes that he picked are considered a diabetic equivalent shoe. Would I bill this self-pay patient with HCPCS- L3222 x 2 - RLTL as self-pay (statutorily non-covered code with Medicare) OR would I have to obtain an ABN and bill the shoes as A5500 with the GA modifier?
Basically, I am asking, is it appropriate to code as L3222 since the patient is non-diabetic and this HCPCS is for an extra-depth shoe? The shoe provided to the patient was Dr. Comfort - Ranger style - hiking boot.
Thanks!
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