Wiki l3908 with Modifier?

[bharathiT]

L3908 -Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf.

This one applied on B/L wrist . can we add any modifier to indicate as the B/L (or) RT, LT (or) 59 this HCPCS code?

 

[trarut]

I don't see that L3908 defined as per wrist, unlateral, etc. andthe code has an MUE of 2 so, generally speaking, you should be able to bill for 2 units with no laterality modifier. I would refer to your specific payer for guidance as to how they want the service reported to them (i.e. one unit per line with RT/LT modifiers).

 

[bharathiT]

As you said, billable with L3908*2 units (or) verify your payer specific for RT/LT Modifier with two line itmes. is it correct?

 

[trarut]

It's AND not OR. CMS has a published MUE of 2 so you should be able to bill for 2 units AND you need to check the specific payer guidelines to verify they will pay for 2 units, require modifiers, split lines, etc.

 

[bharathiT]

Ok fine.Tq

 

[trarut]

Hope it helps!

 

[mfinn]

I believe it is now required to report separate line items for LT and RT