Thursday, March 28, 2024

Coding question

William Schumann

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

RECENT NEWS

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.

O&P JOBS

Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?