Wednesday, June 19, 2024

CROW Orthoses

BT Orthotic Labs, Inc.

Good afternoon O&P Listserver Community
Recently encountered an issue billing Medicare for a Crow Orthoses.
Medicare LCD L11527 states ICD-9 713.5- Arthropathy associated with
neurological disorders supports medical necessity. However, the
conversion from ICD-9 to ICD-10 has been met with several challenges.
LCD L33686 does not support medical necessity  for a diagnosis of
Charcot arthropathy. The conversion under converts 713.5
to E13.610 which was unsuccessful. Any suggestions would be greatly

All the best,
Soris Tribino, BOC Orthotist


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