|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.
Transbronchial bx Modifier Issue
Viewed 3659 times since Tue, Jan 10, 2012
Coding Intrathecal Pain Pump
Viewed 4594 times since Fri, Jun 24, 2011
Excision Breast Tissue
Viewed 5512 times since Fri, Mar 25, 2011
Gastrostomy Tube Replacement
Viewed 32776 times since Thu, Jan 27, 2011
Viewed 2226 times since Fri, Aug 17, 2012
Documentation for EGD Dilatation
Viewed 1445 times since Fri, Apr 29, 2011
Colonoscopy with Poor/Inadequate Prep
Viewed 8114 times since Thu, Jun 7, 2012
Removal of Suture in Vagina
Viewed 6896 times since Thu, Apr 21, 2011
Viewed 8 times since Tue, Nov 16, 2010
When To Charge Fluoroscopy (76000) With an OR Procedure
Viewed 20283 times since Mon, Dec 20, 2010