|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.
Failed Placement of Infusaport
Viewed 3023 times since Tue, Dec 27, 2011
Removal of Biliary Stent via Gastroscopy
Viewed 24863 times since Tue, Nov 16, 2010
Viewed 1026 times since Fri, Nov 2, 2012
Cancelled Surgery-Failed intubation
Viewed 3393 times since Tue, May 3, 2011
Identification Of Bilateral Transforaminal Epidural Injections-64483
Viewed 4064 times since Thu, Feb 3, 2011
Replacement of Pacemaker Generator
Viewed 13469 times since Thu, Mar 15, 2012
Cysto at Time of Laparoscopic Vag Hyst
Viewed 4006 times since Wed, Jun 15, 2011
Viewed 2109 times since Fri, Aug 26, 2011
Viewed 6004 times since Tue, Jul 12, 2011
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 10987 times since Mon, Apr 25, 2011