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We do not bill any insurance. The patient
is responsible for getting a claim form from his/her insurance
provider and submitting it to them for insurance reimbursement. We
strongly recommend that you contact your insurance company prior to
ordering if you want to know whether you will be reimbursed for the
item(s).
Most insurance companies will require a physician's prescription for
the item, along with a diagnosis code, to avoid delay in processing
the claim. Some insurance providers may also require a Letter of
Medical Necessity from a physician or therapist.
For Medicare claims, please be advised that we are not a Medicare
supplier/provider; you will need to call the Medicare phone number
on your Medicare card to see if the item(s) you are ordering are
reimbursable.
Insurance Codes
Below are insurance codes that will be included with your paid
invoice, so that you may file an insurance claim for reimbursement
after you receive your order. We suggest you contact your
insurance provider before ordering to see if the items are covered
under your policy.
Delivery and handling fees, and casting/fitting charges most
likely will not be reimbursed by insurance. There are also
some optional items (i.e., padded dorsal plate, additional finger
lift, etc.) that may not be covered.
For custom orders we will send you an estimate once we receive
all of your paperwork. The estimate will have the insurance
codes on it, as well as itemized charges.
CUSTOM ORTHOTICS
|
Item
|
Medicare Codes
|
|
Hand
Paddle
|
L3913
|
|
Shoulder
Support
|
L3675
|
|
Dome Positioning Splint
|
L3906
|
|
Interchangeable Dome Positioning Hand
Piece for WHO or EWHO
|
L3913
|
|
PRO Prep |
L1990 |
|
L1940 |
|
L2220x2 |
|
PRO Insole™ |
L3000 |
|
L3001 |
|
Perfect Response Orthotic®
(PRO) |
L1970 |
| L2280 |
| L2755 |
| L2820 |
| L2275 |
| L2220x2 |
|
PRO KAFO |
L1970 |
| L2280 |
| L2755 |
| L2820 |
| L2275 |
| L2220x2 |
| L2020 |
| L2540 |
| L2760x2 |
|
Wrist-Hand-Orthosis
(WHO)
|
|
L3906
|
|
L2820
|
L2430 |
|
Elbow-Wrist-Hand-
Orthosis (EWHO)
|
|
L3906
|
L2820
|
|
L3730
|
L2430x2 |
PREFABRICATED ORTHOTICS AND THERAPY AIDS
|
Item
|
Medicare Codes
|
|
Prefabricated Hand
Paddle
|
L3923
|
|
Prefabricated Flat Paddle w/ Straps |
L3923 |
|
Prefabricated Shoulder
Support
|
L3675
|
|
Prefabricated Humeral
External Rotator
|
L3962
|
|
Hand Positioning Accessories Type 1,2,3,5, & 6 |
L3913 |
|
Hand Positioning Accessories Type 4 |
L3916 |
|
Prefabricated Knee
Immobilizer
|
L1836
|
|
Prefabricated Knee
Anti-hyperextension Unit
Type 1
|
L1850
|
Prefabricated Knee Anti-hyperextension Unit
Type 2 |
L1820 |
|
Prefabricated Hip
Alignment Assist Unit for Function in Upright Postures
|
L1686
|
|
Prefabricated Dome
Positioning Splint
|
L3931
|
Prefabricated Articulating Dome Positioning Splint
|
L3931
L2430 |
|
Interchangeable Dome Positioning Hand
Piece for WHO or EWHO
|
L3913
|
|
Prefabricated
Thoracic Extension Unit
|
L0472
|
|
Prefabricated
Wrist-Hand-Orthosis
(WHO)
|
L3931
|
|
L2430 |
|
Prefabricated Elbow-Wrist-Hand-Orthosis
(EWHO)
|
L3760
|
|
L3931
|
|
L2430x2 |
|
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