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Thread: Custom Orthotic billing Question

  1. #1

    Default Custom Orthotic billing Question

    AAPC: Back to School
    When is it appropriate to bill for the orthotic? When the casting is taken or when the pt receives the orthotic?

  2. #2


    I bill for them when the casting is done & a no charge visit for pick up.

  3. #3
    Join Date
    Apr 2007
    St. Louis West

    Default Posting Orthotic Charges

    Actually, you may have it a little backward. CMS rules state that you have to bill it when the patient has the supply IN HAND, so you should be billing a no charge visit for the fitting, and the actual cost on the date of delivery. Make sure it matches your signed "Receipt for Delivery" which is also a requirement of CMS. I figure if Medicare wants it that way, so will the other carriers, and besides, it makes us consistent.
    [COLOR="DarkOrchid"]Barbara Fontaine, CPC
    2011-2015 AAPCCA [B]Past Board of Directors Chair

    COLOR="Blue"]Assume Positive Intent...Be Kind!

    Past President St. Louis West Chapter

    email: bfontaine@signaturehealth.net

  4. #4
    Join Date
    Apr 2007
    Flint, Michigan


    Is there a standard form for "Receipt of Delivery" or is it something that we do ourselves?

  5. #5


    The last office I worked at we did custom orthotics & prosthetics. We billed out for the date that the patient received the DME and kept a "delivery slip" that was signed by the patient in their chart as well.

  6. #6


    What do you do if a patient does not come back to pick up the orthotics?

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