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Alternative level 2 code for L3260

  1. Default Alternative level 2 code for L3260
    Medical Coding Books
    Hi. I'm working on a denial and the insurance is asking for an "alternative level 2 code for L3260." Any ideas?

  2. #2
    I have come across this many times with my podiatrist that I code for. It states in an LCD for Orthopedic Footwear, that according to a national policy determination, a shoe and related modification, inserts, and heel/sole replacements, are covered only when the shoe is an integral part of a brace. These are impossible to get paid for my Medicare.

  3. Default
    Thank you for responding. That does make sense to me now since it was a Medicare patient. I just left the code as is and resubmitted it & it hasn't come back since.

  4. #4
    Try resubmitting it with clinical notes to why they dispensed the surgical boot. We got a few paid that way. If the patient has a secondary, then submit to the patients secondary.

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