Thank you all for your immediate responses. I am pleased to see that we
are all on the same page regarding this issue.
ORIGINAL INQUIRY:
Subject: [OANDP-L] L coding UCBL for deep heel cups
Question for everyone: Can you/do you code L3000 (UCBL, Berkley type)
for a foot orthosis that includes a 12-15 mm deep heel cup?
I’ll post responses from those who state that they wouldn’t mind me
doing so. Thank you!
Rebecca, Prosthetist/Orthotist
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RESPONSES:
Hi Becky,
I looked up the podiatric definition for you. I hope it helps!
L3000
Foot insert, removable, molded to patient model. “UCB” Type Berkeley
Shell, each. Plastic device, molded over model of patient’s foot to
provide control of the foot.
Used most commonly for prescription foot orthoses made of rigid or
semi-rigid plastics. The key component is “to provide control”.
Improving foot function by controlling specific segments or events is
achievable by modifying a three dimensional patient model and utilizing
materials sufficiently rigid enough to maintain those modified contours
under a patient’s individual body weight.
No… Unless it’s made out of rigid plastic/carbon and trimlines go over
the navicular bone.
Sorry. It also has to fully contain the calcaneus.
Becky,
A UCBL is much more than just a deep heel-seat. This product designed
at Berkely has very specific casting protocols, sulcus cuts, intrinsic
heel valgus corrections and forefoot varus corrections, all components
sprcifically designed for the young valgus foot deformity. I think it
would be innapropriate to code a standard foor orthosis with a deep seat
as a UCBL, especially if you are casting in foam, which prevents getting
a heel lock and correction. You must decide if your product matches the
UCBL definition.
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Rebecca,
I am sorry, the answer would have to be no. A true UCBL is a corrective,
plastic foot orthotic. To ethically
qualify as a UCBL, the trim line must be no more than a 1/4″ below the
counter of the shoe. Depending on the age of the person, wether a pedi
or adult, the minimum depth would most likely be between 25 and 40 mm’s
.
Feel free to post my response. Respectfully,
Mick Holm, CO, LPO
Tampa
If you’re making a real UCBL insert you can’t make it without a deep
heel cup.
