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
Perfect Response Orthotic® (PRO)	L1970
	L2280
	L2755
	L2820
	L2275
	L2220x2
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 Shoulder Support	L3675
Prefabricated Humeral External Rotator	L3962
Prefabricated Knee Immobilizer	L1836
Prefabricated Knee Anti-hyperextension Unit	L1850
Prefabricated Hip Alignment Assist Unit for Function in Upright Postures	L1686
Prefabricated Dome Positioning Splint	L3931
Prefabricated Articulating Dome Positioning Splint	L3931 L2430
Prefabricated Thoracic Extension Unit	L0472
Prefabricated Wrist-Hand-Orthosis (WHO)	L3931
	L2430
Prefabricated Elbow-Wrist-Hand-Orthosis  (EWHO)	L3760
	L3931
	L2430x2