Wednesday, May 25, 2022

Re: PT’s billing O&P

Mark Deharde

Mr. Anderson:

Actually, up until July 1, 2005 ANY “supplier” can bill L codes to the
DMERCs as long as they have a valid supplier number.

After July 1, 2005 DME suppliers will be restricted to certain L codes
for most non-custom orthoses. At least temporarily, PTs will still be
able to bill all L codes as they do now and bill the DMERCs if they have
a supplier number.

Regulations are pending at CMS under BIPA 427 and MMA that will be
further refining who can and cannot bill Medicare based on
qualifications (education, training and experience) and facility
accreditation. The organized field of O&P is working to assure that all
patients who need comprehensive O&P services will receive them from
qualified orthotists and prosthetists, not DME and PT.

We respect our PT colleagues to do short term low temperature splinting
and to assist in gait training for patients with orthoses and prosthesis
within their education, training and experience. If they wish to do
more, they need to go back to school for O&P as many of them have.

Please support you national advocacy efforts and get involved on these
important issues and support state licensure as well.

Mark DeHarde

—–Original Message—–
From: Orthotics and Prosthetics List [mailto:[email protected]] On
Behalf Of Sunshineinn
Sent: Thursday, June 23, 2005 1:56 AM
To: [email protected]
Subject: [OANDP-L] PT’s billing O&P

I’ve been informed that PTs will be able to start billing certain Lcodes
starting next month. Does anyone know the accuracy of that informtion
and, if so, what codes they will be allowed to bill?

Harold Anderson, CO

Let the Sun Shine Inn B&B
Susan Ten Pas & Harold Anderson


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