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Physician casting for custom orthotics

  1. #1
    Location
    Loveland, CO
    Posts
    18
    Default Physician casting for custom orthotics
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    Hello!
    We have a physician who is a foot and ankle specialist. He has been sending patient's to our therapy department for casting molds for custom orthotics. He wants to start doing the casting himself in clinic. Would 97760 be the appropriate code for this or is there a better code?
    Thanks in advance for any input!

    Sally Cookman, CPC, COSC

  2. Default
    In the organization I work for, we have found that 97760 was not the appropriate code because the provider is molding the castings and that is it during the orthotic casting visits, and not actually managing the orthotic castings. Rather, we use A4580 and L3030 for the supplies.

    Ann Lilly, CPC, COBGC

  3. Default Casting for Custom Orthotics
    We code L3000,1 for adult and L3000,2 for pediatric custom molded orthotics. Our Physicians are casting the patients and then we send the molds out to be created, which we then disburse. 99% of the time this is a non-covered benefit (rare occasions diabetics and a few federal BCBS plans will cover) so we have the patients pay in full at the time of service.

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