Some of our practitioners have been hearing rumors that other facilities are billing Medicare for time spent reprogramming, fine tuning and adjusting the micro processor for an Above Knee C-Leg, for example.
We would like confirmation that this is an acceptable billing procedure by Medicare. What are the codes used to bill as well as Medicare’s allowable for such procedure. Again, we have only heard this via rumors and would like clarification.
Our facility understands this to be part of any usual follow up with a prosthesis and not something that could be billed separately. If any one has information regarding this please advise.
Kathy Brown
Billing & Collection
Phone: (920) 388-2788 EXT: 302
Fax : (920) 388-4343
Email: Kathy@oprsbilling.com
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