<img style="float: right;" src="https://opedge.com/Content/OldArticles/images/2004-01_05/llake-salmon.jpg" hspace="4" vspace="4" /> By Lisa Lake-Salmon Executive Vice President Acc-Q-Data Inc. <b><i>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 informative column will help providers and their staff with a better understanding of billing procedures and reimbursement strategies.</i></b> <b>Q: I am a relatively new prosthetist and was wondering if Medicare will cover repairs or adjustments made to a patients prosthesis?</b> <b>A:</b>Any repairs or adjustments made to the prosthesis within the first 90 days of fitting are not paid for separately; Medicare considers that included in the reimbursement for the prosthesis. After the initial 90 days, you would then use either L-7510 (repair) and/or L-7520 (labor per 15 minutes). You will need to explain to Medicare in your additional documentation exactly what the repairs were for. Remember to always use the proper modifiers: RP (repair), RT or LT (specifies which leg), K1 K2 K3 or K4 (what functional level). <b>Q: I heard through the grapevine that Medicare will now reimburse for compression stockings. Can you let me know if this is true?</b> <b>A:</b> Effective October 1, 2003, Medicare began reimbursing for L-8110 (Gradient compression stocking below knee, 30-40 mmHG and L-8120 (compression stocking, 40-50 mmHG). This may be covered under the surgical dressing benefit when it is used to secure a primary dressing over an open wound or venous stasis ulcer that has debridement, and when the gradient stocking can be proven to deliver compression greater then 30 mmHG and less then 50 mmHG. You must use either the RT or LT modifier along with the AW modifier. <i> We invite readers to ask any questions you have regarding billing, collections, or any other related information. To send your questions or for more information, contact: <a href="mailto:lisa@westernmediallc.com">lisa@westernmediallc.com</a> Acc-Q-Data provides billing, collections and practice management software, serving the O&P industry nationwide for over a decade.</i>
<img style="float: right;" src="https://opedge.com/Content/OldArticles/images/2004-01_05/llake-salmon.jpg" hspace="4" vspace="4" /> By Lisa Lake-Salmon Executive Vice President Acc-Q-Data Inc. <b><i>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 informative column will help providers and their staff with a better understanding of billing procedures and reimbursement strategies.</i></b> <b>Q: I am a relatively new prosthetist and was wondering if Medicare will cover repairs or adjustments made to a patients prosthesis?</b> <b>A:</b>Any repairs or adjustments made to the prosthesis within the first 90 days of fitting are not paid for separately; Medicare considers that included in the reimbursement for the prosthesis. After the initial 90 days, you would then use either L-7510 (repair) and/or L-7520 (labor per 15 minutes). You will need to explain to Medicare in your additional documentation exactly what the repairs were for. Remember to always use the proper modifiers: RP (repair), RT or LT (specifies which leg), K1 K2 K3 or K4 (what functional level). <b>Q: I heard through the grapevine that Medicare will now reimburse for compression stockings. Can you let me know if this is true?</b> <b>A:</b> Effective October 1, 2003, Medicare began reimbursing for L-8110 (Gradient compression stocking below knee, 30-40 mmHG and L-8120 (compression stocking, 40-50 mmHG). This may be covered under the surgical dressing benefit when it is used to secure a primary dressing over an open wound or venous stasis ulcer that has debridement, and when the gradient stocking can be proven to deliver compression greater then 30 mmHG and less then 50 mmHG. You must use either the RT or LT modifier along with the AW modifier. <i> We invite readers to ask any questions you have regarding billing, collections, or any other related information. To send your questions or for more information, contact: <a href="mailto:lisa@westernmediallc.com">lisa@westernmediallc.com</a> Acc-Q-Data provides billing, collections and practice management software, serving the O&P industry nationwide for over a decade.</i>