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Got FAQs?
By Lisa Lake-Salmon  The future of your practice depends on
knowledgeable billing and collection information. Understanding the
full aspect of billing guidelines and procedures will effectively
increase your reimbursement. This iformative column will help
providers and their staff with a better understanding of billing
procedures and reimbursement strategies.
Q: I am a new provider in Region C, and I was wondering
if you can advise me of any new or deleted codes for 2006 strictly
for ankle foot orthoses?
A: According to the Healthcare Common Procedure
Coding System (HCPCS) level II, the added codes for this category
are L-2034 (knee ankle foot orthosis, full plastic, single upright,
with or without free motion knee, medial lateral rotation control,
with or without free motion ankle) and L-2387 (addition to lower
extremity, polycentric knee joint, for custom fabricated knee ankle
foot orthosis, each joint). Effective January 1, 2006, procedure
code L-2039 has been discontinued.
Q: Do the L-Codes for compression stockings change per
region?
A: The changes for the compression stockings
that took place January 1, 2006, are for all four DMERC
regions.
Q: I have been billing K-0628 and K-0629 every way
Medicare has told me.I am still not getting paid. I was told to use
RT/LT modifiers. Then I was told to use KX modifiers. At one point
I was told not to use modifiers. I then was told not to use these
codes at all. What do I have to do to get paid on these
codes?
A: If the date of service you are billing for
is after January 1, 2006, the codesyou are using may not be valid
anymore. As of January 1, K-0628 was replaced with
A-5512, and K-0629 was replaced
with A-5513 . If your date of service is prior to
January 1, 2006, I would need the denial code or reason listed on
the Medicare EOB to further assist you in this matter.
We invite readers to ask questions regarding billing,
collections, or related subjects.Acc-Q-Data provides
billing, collections, and practice management software and has
served the O&P industry nationwide for more than a decade. For
more information contact lisa@opedge.com Lisa Lake-Salmon is Executive Vice President, Acc-Q-Data Inc. 
Table Of Contents - May 2006
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