Dear Valued DJO Blog Followers,
We are writing in respect to the Centers for Medicare & Medicaid Services (CMS) new “split” HCPCS (L‐Codes) for certain types of orthotics. We have received many questions from our customers and thought that a written communication with our perspective on these recent changes might be helpful to you. Accordingly, we are pleased to provide you with the following documents:
(1) A DJO Compliance Bulletin that provides some background and rationale regarding these CMS coding changes;
(2) An “L Code Decision Tree” to guide you in determining whether to use an off‐the‐shelf (OTS) HCPCScode or a custom fitted (CTS) HCPCS code;
(3) A Clinical Documentation Template that incorporates the components outlined in the CMS DMEPOS Quality Standards, Appendix C. Please refer to these standards for the detailed requirements associated with billing a custom fabricated or custom fitted (CTS) orthotic.