Good afternoon
Question for the panel, I find myself in need of guidance. We’ve
recently A billed out to Medicare for a Crow orthoses L4631 with ICD-9
codes 255.02, 356.9, 824.4 and 733.82. We were denied and deemed
medically unnecessary. It was my understanding that Medicare
beneficiaries are eligibleA for a A Crow Orthoses L4631 A under these
conditions.
1- Diabetic type II
2- Perpherial neuropathy
3- Severe deformity of the foot and ankle due to a sensory neuropathic
arthropathy
Which ICD-9 codes A support medical necessity for L4631? The LCD includes
only A 713.5A ARTHROPATHY ASSOCIATED WITH NEUROLOGICAL DISORDERS and is
there a specific order ?
All the best
Melissa Irizarry
Office manager
A BT Orthotic Labs, Inc.
