Our facility provided a properly documented and prescribed L1960 for a Medicare patient recently; within 3 yrs. The Rx’ing MD now wants this AFO converted to a KAFO L2036 with drop locks. One opinion is to code L2330 ( does it have to be laced?), L2405 X2 ( drop locks) but what about the side bars and joints? Or, is it better to consider original Rx inadequate for patient needs and have MD submit his revised documentation stating why and code for the L2036 with L2405 X2? Thanks for your opinions.
Bill Schumann, CPO/LPO