DME MAC A will be initiating a widespread prepayment probe of claims for the following HCPCS code:
L4360 (WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE)
This review is being initiated due to a high volume of claim errors identified by the Comprehensive Error Rate Testing (CERT) contractor. Please click here to see entire article: L4360 Probe
DME INFO 