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Documentation Support for L5910 Addition with base code L5637

James R. Loehrke

We had Humana deny L5910 Alignable code because in the descriptor for base code L5530 it uses the phrase “non-alignable system”. For level 1 review explanation was given that the base code by itself “is” non-alignable to make the prosthesis alignable you have to add L5910. That didn’t work. Can anyone point me in the right direction for documentation/support that these codes can be billed together?

James R. Loehrke
– CEO, Vice President

Green Prosthetics & Orthotics LLC
2241 Peninsula Drive
Erie, PA 16506
Phone: 814.833.2311 x12

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