Revised for the January 2011. The update includes all changes identified in CR7248. Please click here 2011 DMEPOS FEE SCHEDULE to download complete listings.
DJO Receives PDAC Letters for DonJoy Back Braces!
DJO has received PDAC letters for its DonJoy Back Braces. These rigid braces have been assigned covered codes and are eligible for reimbursement from Medicare. To view the PDAC letters and the assigned HCPCS codes for each product, please click here DJO PDAC
Hand-Finger Orthoses (L3923) – Use of CG Modifier
If a hand-finger garment is made primarily of elastic material, it must be billed with code A4466 (Garment, belt, sleeve or other covering elastic or similar stretchable material, any type, each) and not code L3923. Claims billed with code A4466 will be denied as noncovered, no benefit category. Effective for claims with dates of service [...]
HCPCS Code Update – 2010
For more information, please click above on the title of this post, then click this link CODE UPDATES HCPCS Code Update – 2010 The following list identifies changes to level II Healthcare Common Procedure Coding System (HCPCS) codes for 2010. Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on [...]
The following codes are being deleted from the HCPCS effective January 1, 2010, and are therefore being removed from the DMEPOS fee schedule files
For more information, please click above on the title of this post, then click this link DELETED CODES The following codes are being deleted from the HCPCS effective January 1, 2010, and are therefore being removed from the DMEPOS fee schedule files
Knee Orthoses—Prepayment Review Update
For more information, please click above on the title of this post, then click the link For additional information The National Government Services Jurisdiction B Medical Review Department recently conducted a prepayment targeted medical review of Knee Orthoses. This is a widespread random selection of submitted claims based on a targeted service(s) from multiple suppliers [...]
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