Tuesday, June 25, 2024

Problems with parts codes

Elizabeth Park

Hello List,

Have any of you had problems with insurance companies (especially Medicare Advantage plans) not paying on parts codes: L4210 & L7510? They are denying or paying way below MSRP. When denied, the reason they give is always because Medicare doesn’t have an associated fee schedule.

They are saying that the only recourse is to appeal, which never turns out in our favor. Have any of you experienced something similar and how have you handled it?

Any information is greatly appreciated!

~ Elizabeth

Elizabeth A.M. Park, Operations Manager
Sound Limbs Orthotics & Prosthetics



Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.


Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?