Dear Colleagues,
It’s that time again. My personal reformatted January 1, 2021 CMS PDAC L
code file is now available. To receive your free copy, go to
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.BlueDOrtho.com&d=DwICAg&c=sJ6xIWYx-zLMB3EPkvcnVg&r=KmuawjwNpT9A2bnhzaNVjw8wO7L_TDosEXIk33h_tlw&m=2qWia5DgiWB-qZ4GipaUIO790_QgEFtCb1nKsbwgW8I&s=FgPOPz7bDkW1EtTVtu1iMdP-60W7kzXbc4ias4n6fGM&e= , scroll to the bottom, select “Request PDAC L-Code File,”
submit the form, and the link will be emailed to you automatically.
This file is from public information available from CMS and reformatted for
our own use. We offer it for free. We charge nothing and we accept no
liability, but we request that you alert us if you find errors. The current
file contains information effective January 1, 2021. It will remain on the
Blue Diamond Orthopedic website until a newer file replaces it.
FYI, here’s how we reformat the file:
* We eliminate all but L codes – then add back a few A codes.
* We delete cells not containing information useful to O&P.
* We add an average-allowable column.
* We insert a long-description column to the far right.
* We make all columns sortable.
* We clean up and add some color.
Note for 2021: Under Competitive Bidding, on OTS spinal and knee orthoses,
CMS leaves the “Ceiling” and “Floor” cells blank. The problem is our
“Average” cells are normally the average of “Ceiling” and “Floor,” which do
not exist on OTS codes. We brainstormed several solutions, but they each
came with potential problems, so we decided just to leave the “Average”
cells blank on OTS orthoses.
Best wishes to all!
Regards,
David Hendricks
David Hendricks, CPO
Blue Diamond Orthopedic
