OPBS News: April 2009

April 8, 2009

Changes in DME MAC Medical Policy



The DME MAC's have announced and released the following changes .

AFO/KAFO, KO, TLSO/LSO Policy
Medicare made the decision that the elastic braces and code L2770 are no longer a covered benefit. Medicare has added the following new diagnosis codes ICD-9 844.2 and 996.40 - 996.49, these codes will be acceptable for the following braces L1830, L1832, L1834, and L1843-L1846. KX modifier will need to be added to the base code and any additional codes used. The new CG Modifier should only be used when providing a flexible LSO/TLSO made of non-elastic material or it should have a solid posterior panel.










 

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