AAPC - Back to school
Page 2 of 2 FirstFirst 12
Results 11 to 12 of 12

Thread: DME - Help!

  1. #11

    Default Dme l1800 & l1815

    AAPC: Back to School
    Since codes L1800 & L1815 have been deleted, what codes should be used in their place?

  2. #12
    Join Date
    Apr 2007
    Portland Metro Chapter

    Angry patient billing

    Quote Originally Posted by montie99 View Post
    So can we bill the pt for these?
    We have every patient (except Medicare & Medicaid) sign an agreement that explains the orthotic may not be covered by their payer, is not returnable, and acknowledges they are ultimately responsible for payment. These agreements are kept on file in our back office and will ultimately be scanned into our EMR system.

    When implementing A4466, we used the fee for the highest priced article but enter the type of orthotic in our narrative field for the claim. This is working for us.

    All Medicare patients must sign an ABN and we bill their orthotics with the GA modifier. For Medicaid patients, we do our best to get a prior authorization but lots of money walks out the door. This remains one of my biggest frustrations.

Page 2 of 2 FirstFirst 12

Similar Threads

  1. DME Repairs, Maintenance, and Replacement on DME codes
    By asexton in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-20-2015, 11:24 AM
  2. Dme
    By amylmor72 in forum Billing/Reimbursement
    Replies: 2
    Last Post: 06-03-2014, 11:38 AM
  3. Dme
    By twilson@fmchosp.com in forum Medicare Regulations
    Replies: 1
    Last Post: 01-11-2013, 12:15 PM
  4. New to DME
    By twilson@fmchosp.com in forum Billing/Reimbursement
    Replies: 4
    Last Post: 07-27-2012, 12:17 PM
  5. Dme ????
    By ivonneatanacio in forum Medicare Regulations
    Replies: 6
    Last Post: 07-31-2009, 06:14 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.