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
Tag: DME Coding
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 or after January 1, 2010.
Discontinued Codes/Deleted Modifiers: Codes or modifiers that are discontinued/deleted will continue to be valid for claims with dates of service on or before December 31, 2009, regardless of the date of claim submission. If there is a direct crosswalk for a discontinued/deleted code or modifier, it is listed in the table. The crosswalked codes are also “added” codes effective for dates of service on or after January 1, 2010.
There is no grace period that would allow submission of the discontinued code for dates of service in 2010.
Narrative Changes/Revised Modifiers: A description change for an existing code or modifier is effective for dates of service on or after January 1, 2010.
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 which are reviewed for medical necessity.
DME INFO 