- Human Interest
- O&P Practitioner
- Physical Therapist
- Other Healthcare Professional
Change tp PDAC Coding verification for AFOs
Posted By: Seamus Kennedy on July 3, 2012
PDAC has just announced, via their website www.dmepdac.com/ that the Coding Review for AFOs is now suspended:
"The article titled, Coding Verification Reviews for Custom Fabricated Ankle-Foot Orthoses, published May 16, 2012, concerning coding verification for the 3 HCPCS codes: L1940, L1960, L1970, is currently under review by the DME MACs. The September 1, 2012 Effective Date as stated in the article is on hold until further notice. Please monitor the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) and Pricing, Data Analysis and Coding (PDAC) web sites for a final decision following this review."
SACamus Kennedy, BEng(Mech), CPed
1st in Customer Satisfaction and Orthopedic Excellence
Custom Orthotics * AFOs * CROWs * Richies * Prosthetics * Shoes
From: Orthotics and Prosthetics List [mailto:[E-mail Address Removed]] On Behalf Of [E-mail Address Removed]
Sent: Monday, July 02, 2012 5:18 PM
To: [E-mail Address Removed]
Subject: [OANDP-L] Coding verification for AFOs
Everyone needs to read this. Looks like we all have to get coding verification for our AFOs under codes L1940, L1960, and L1970.
Quoted from the above link :
"Custom fabricated by a supplier: These items are individually fabricated by a supplier from raw materials and are dispensed directly to the patient by the entity that fabricated the orthosis. For coding verification, the supplier must submit written documentation that lists the custom Ankle-Foot Orthosis (AFO) manufacturing processes and all components that will be a part of the base code for that AFO orthosis. The supplier must provide a narrative description of the item to include anatomical reference points, a list of the materials that were used and a description of the custom fabrication process (including photos of the process) used for this type of orthosis. These custom fabricated items must be listed on the PDACa?Ts DMECS in order to be billed using a custom fabricated code."
Ted A. Trower CPO,
A-S-C Orthotics & Prosthetics
******************** To unsubscribe, send a message to: [E-mail Address Removed] with the words UNSUB OANDP-L in the body of the message.
If you have a problem unsubscribing,or have other questions, send e-mail to the moderator Paul E. Prusakowski,CPO at [E-mail Address Removed]
OANDP-L is a forum for the discussion of topics related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries should not be sent to the entire oandp-l list. Professional credentials or affiliations should be used in all communications.
|The message above was posted to OANDP-L, the e-mail discussion list for orthotics and prosthetics.|