Friday, May 20, 2022

Re: Molded to patient model???

David Hendricks, CPO

In answer to Ron Kidd, CPO’s question whether a measured ischial-containment

socket is properly billed with a code whose description includes “molded from

patient model,” my answer is yes, it can be. This is because the prosthetist

is supposed to use the closest available code when no code exactly describes

the procedure. What other code is as close?

The problem Mr. Kidd describes, however, is a very real one. It is now so easy

to make a socket from measurements — as compared to how difficult it is to

correctly cast for an ischial-containment socket — that lazy prosthetists can

cut corners. The specific case Mr. Kidd alluded to was one where the

prosthetist measured the patient, then “delivered the prosthesis a couple of

days later,” according to the patient. This means no check socket procedure

was used, obviously, which I see as the problem here rather than the method of

constructing the original positive mold. Check sockets are absolutely

mandatory with ischial-containment fittings, in my opinion.

David Hendricks, CPO

Silver Cross Medical, Inc.

Zephyrhills, Florida

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