Reimbursement:
Specialty Codes Affected By P&O Restriction
Published on Mon Jan 03, 2005
If you don't qualify for one of these specialty codes, you'll no longer be able to bill for prosthetics and orthotics after July 5:
Medical Supply Company With Orthotics Personnel (Specialty Code 51);
Medical Supply Company With Prosthetics Personnel (Specialty Code 52);
Medical Supply Company With Orthotics and Prosthetics Personnel (Specialty Code 53);
Orthotics Personnel (Specialty Code 55);
Prosthetics Personnel (Specialty Code 56);
Orthotics Personnel, Prosthetics Person-nel, and Pedorthists (Specialty Code 57);
Physical Therapist (Specialty Code 65);
Occupational Therapist (Specialty Code 67); and
All physician specialty codes listed in Manual 100.4, Chapter 26, Section 10.8.2.