Mobile menu

L Codes for Orthotics

Question – Posted July 3, 2018

Does the payment I receive for the L code from the Medicare program count towards the 2018 annual therapy cap dollar threshold?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Posted July 3, 2018

If I only bill a L code on the first date of treatment for an orthosis, do I still have to select a categorical functional limitation and report the G-codes for a Medicare beneficiary?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Posted January 6, 2018

If I bill an L code for an orthosis, can I also bill 97760 on the same date of service for the training I provided to the patient?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Posted November 12, 2015

Does the payment I receive for the L code from the Medicare program count towards the 2017 annual therapy cap dollar threshold?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

If I only bill a L code on the first date of treatment for an orthosis, do I still have to select a categorical functional limitation and report the G-codes for a Medicare beneficiary?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

What is included in the training component of CPT code 97760 (Orthotic management and training)?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

If we are a private practice and do not have a durable medical equipment supplier number, how can we bill the Medicare program for orthotics provided under an outpatient PT or OT plan of care?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

What is included in the payment of the L code billed for an orthosis provided under an outpatient PT or OT plan of care?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

When a non-private practice is billing a L code for an orthosis provided under an outpatient PT or OT plan of care, what revenue code do we use in box 42 on the UB-04 claim form?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

Does a non-private practice require a durable medical equipment supplier number to bill L codes to the Medicare program for orthotics provided under an outpatient PT or OT plan of care?

Answer

This content is for Gold Members only. Please log in above or Register

Question – Updated October 6, 2015

Does a private practice require a durable medical equipment supplier number to bill L codes to the Medicare program for orthotics provided under an outpatient PT or OT plan of care?

Answer

This content is for Gold Members only. Please log in above or Register