Thursday, May 26, 2022

Response to L1847 covered?

Troy Fink, CPO

My original query was:

I have a PT that wants to use KOs with an inflatable air bladder. I have never billed this before (L1847.) I am in region A. I understand from the LCD that the only acceptable diagnosis is knee flexion contracture.

Have you been reimbursed by Medicare for this, or is it problematic?

This morning a kind respondent sent me the following:

Further down in the LCD it actually states “There is no proven clinical benefit to the inflatable air bladder incorporated into the design of code L1847 or L1848; therefore, claims for codes L1847 or L1848 will be denied as not reasonable and necessary.”

Case closed.

Troy Fink, CPO

New England Orthotic & Prosthetic Systems
543 South Main St., Suite 2A
P.O. Box 15
Lanesboro, MA 01237

Phone 413-236-8110
Fax 413-236-8113
Cell 413-358-1401

[email protected]

www.neops.com

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