Monday, December 2, 2024

Medicare billing – more hoops

Hi list, Apparently now any time we provide a knee or spinal orthosis to a Medicare patient that has a code that says “includes fitting and adjustment” or “adjustable” and does not have a corresponding OTS code, we have to use a “99” code to bill it if we don’t have to adjust it. https://urldefense.proofpoint.com/v2/url?u=https-3A__med.noridianmedicare.com_web_jadme_policies_dmd-2Darticles_2021_custom-2Dfitted-2Dorthotic-2Dhcpcs-2Dcodes-2Dwithout-2Da-2Dcorresponding-2Doff-2Dthe-2Dshelf-2Dcode-2Dcorrect-2Dcoding&d=DwIF-g&c=sJ6xIWYx-zLMB3EPkvcnVg&r=KmuawjwNpT9A2bnhzaNVjw8wO7L_TDosEXIk33h_tlw&m=X72eAyfhzxh3YJmqm-On7-6I7U6SEIgdUlyydJD5WZc&s=2vOj7sqFRDgtCtJPC8XjlOWzoeUa2IPFnBKusN1RC4U&e= Good times. -_- Karen Lynch, CPO, CFmSunrise Prosthetics & Orthotics, Inc
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