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
www.neops.com
