I am inquiring whether any list participants are having success billing the L5930 for K3 ambulators who require the high-activity frame for safety reasons due to exceeding weight limitations of non-high-activity knees.
Which payers are recognizing the medical necessity?
Related- does anyone have a comparison of multiple manufacturers knees/ weight limits/ coding recommendations already compiled they would be willing to share?
Any other evidence or contributions anyone wants to contribute toward the addition of this element to Medicare LCD is welcome.
Susi Ebersbach, MBA
