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  • LCD - Ankle-Foot Knee-Ankle-Foot Orthosis (L33686)
    Use this page to view details for the Local Coverage Determination for Ankle-Foot Knee-Ankle-Foot Orthosis
  • Orthotics - JD DME - Noridian - Noridian Medicare
    Refer to the Off-The-Shelf or Custom-Fitted Orthotic Lookup Tool to determine the correct HCPCS code to bill when providing a custom fit code but no custom fitting is completed This includes adding the policy specific required modifier and the LT or RT modifiers
  • Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot . . .
    Section 6407 of the Affordable Care Act (ACA) established a face-to-face encounter requirement for certain items of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
  • MEDICAL POLICY - ORTHOTIC DEVICES - BCBSM
    Orthotics are rigid or semi-rigid appliances used for the purpose of supporting or correcting a weak or deformed body part They are also designed for restricting or eliminating motion in a diseased or injured part of the body An orthosis may be either prefabricated or custom fabricated
  • LCD - Orthopedic Footwear (L33641) - Centers for Medicare Medicaid . . .
    Statutory coverage criteria for orthopedic footwear are specified in the related Policy Article Prosthetic shoes (L3250) are covered if they are an integral part of a prosthesis for a beneficiary with a partial foot amputation (refer to the ICD-10 Codes section in the LCD-related Policy Article)
  • Orthoses - CGS Medicare
    MLN SE20007: Standard Elements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Order, and Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Orders Prior to Delivery and, or Prior Authorization Requirements
  • Documentation Checklist for Anke-Foot Knee-Ankle-Foot Orthoses
    Used to assist ankle joint plantarflexion or dorsiflexion Beneficiary requires ankle plantar or dorsiflexion assist in the absence of any co-existing joint contracture
  • Ankle-Foot Orthoses: Walking Boots – Coverage and Coding Issues . . .
    HCPCS codes L4360, L4361, L4386 and L4387 describe an ankle-foot orthosis commonly referred to as a walking boot Walking boots that are used to provide immobilization as treatment for an orthopedic condition or following orthopedic surgery are eligible for coverage under the Brace benefit





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