|Home » Categories » CPT Surgery/APC Coding|
L3260 Heel Wedge Shoe
|Article Number: 555 | Rating: Unrated | Last Updated: Wed, Dec 21, 2011 7:31 AM|
Our Rehab wants the L3260 order for a pt patient-- I’m thinking this might be something the patient should acquire from a DME - would this be a covered item under Medicare or insurance delivered from the outpatient Physical Therapy department?
L3260 describes a surgical boot/shoe. This code has a status indicator of "E" indicating that it is a noncovered supply on an outpatient claim. If this code assignment is correct, you should obtain an ABN when this supply is issued to a Medicare patient. This code assignment is questioned if you are trying to capture a Heel Wedge as L3340 or L3350 may be more accurate code options. If one of these codes is assigned, it would be considered an covered orthotic and could be charged with one of these codes under revenue code 274. Orthotics can be charged separately by hospitals under current Medicare guidelines. A heel wedge does not fall into the category of DME.
There are no attachments for this article.
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 10437 times since Mon, Apr 25, 2011
CPT Coding Ligation/Cauterization Corpus Luteum
Viewed 3058 times since Thu, Aug 4, 2011
Outpatient Procedure Charging
Viewed 1308 times since Thu, Oct 20, 2011
Viewed 1303 times since Tue, Nov 29, 2011
Declotting PICC Line
Viewed 3602 times since Wed, Jan 26, 2011
Viewed 14543 times since Tue, Feb 8, 2011
Viewed 5839 times since Tue, Jul 12, 2011
Bilateral Hip Injections
Viewed 1018 times since Mon, Nov 19, 2012
Gastrostomy Tube Replacement
Viewed 31147 times since Thu, Jan 27, 2011
Viewed 160 times since Fri, Aug 19, 2011