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HCPCS Code for Foot, insert, removable, molded to patient model, 'UCB' type, Berkeley Shell, each L3000

HCPCS code L3000 for Foot, insert, removable, molded to patient model, 'UCB' type, Berkeley Shell, each as maintained by CMS falls under Foot Inserts, Removable .

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Official Long Descriptor

Foot, insert, removable, molded to patient model, 'UCB' type, Berkeley Shell, each

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Correct DOS for billing L3020
Casting is to be billed out on date of casting. Many payers will pay for 29799 RT/LT or S0395 RT/LT for the casting. Then on the date of dispense the orthotic is billed out. You Mentioned L3020. I... [ Read More ]
DME code - L3000
Hi, Actually my insurance denied for base equipment for L3000. Please advice. Thanks in advance!!!... [ Read More ]
DME code - L3000
Hi All.... I am receiving denials from Medicare DME for the CPT L3000 as CO-16( Claim service lack for information) these claim also contains a remark code M124 (Missing indication of whether the pat... [ Read More ]
Football Casting for offloading of an ulcer
Good morning, I have two questions this morning! 1) We have new physicians to our practice billing a 29425, ambulatory walking boot for application of an offloading soft football cast. I don't t... [ Read More ]
Custom Orthotic Coding Assistance
Hello there! We bill 29799 bilateral for the casting whether it is manual or digital. Not all payers cover it, but many do. Then at the time of dispense, bill out the L3000 RT, L3000 LT. With the e... [ Read More ]
Custom Orthotic Coding Assistance
Hi All, I am hoping to get some advice on what HCPCS and CPT are appropriate to bill for casting/ordering/fitting a custom orthotic. We currently bill L3000 and cast via a digital image. Is there a... [ Read More ]
Orthotic coding for medicare
[QUOTE="SienTC1720, post: 501705, member: 283450"] Could you provide the location in the claims manual where this policy is located? [/QUOTE] I cannot speak to the "claims manual" but here is the link... [ Read More ]
Orthotic coding for medicare
[QUOTE="TammyHF, post: 91823, member: 2386"] HCPC L3000 through L3030 for custom orthotics which are not covered by Medicare unless it is part of a medically necessary brace. Since they are not cover ... [ Read More ]
DME documentation guidelines...first denial!
[QUOTE="podcoder70, post: 495258, member: 584850"] Great question! Custom orthotics are not covered by CMS except when attached to a brace. If you are billing CMS to get a denial so that you can bil... [ Read More ]
DME documentation guidelines...first denial!
Hello All! Can someone shed some light on documentation guidelines for orthotics, shoes and boots? I am familiar with CMS guidelines/requirements for diabetic shoes. But out of the blue I have receive... [ Read More ]
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