|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.
There are no comments for this article. Be the first to post a comment.
Digital Nerve Block
Viewed 3592 times since Thu, Oct 27, 2011
Lithotripsy for Multiple Stones
Viewed 1338 times since Tue, Nov 16, 2010
C-ARM Used in Surger
Viewed 8620 times since Tue, Mar 22, 2011
EGD with Dilation
Viewed 20045 times since Thu, Jun 21, 2012
What is Considered Conscious Sedation
Viewed 3251 times since Mon, Apr 25, 2011
Viewed 619 times since Wed, Jun 20, 2012
Cystoscopy with Retrograde Pyelogram bilateral
Viewed 3325 times since Wed, Nov 21, 2012
Viewed 1017 times since Tue, Nov 29, 2011
Viewed 1207 times since Fri, Aug 17, 2012
Cataracts and Complications
Viewed 2876 times since Tue, Nov 16, 2010