Reimbursement Solutions
The responsibility for accurate coding lies with the patient care facility that selects the product, fits the patient and bills for the service. Our goal is to provide the information you need to find the right reimbursement plan for you. Reimbursement information for Orthotics and Prosthetics are listed below, along with Mobility reimbursement information at the bottom of the page. Please call the Reimbursement Hotline for more information at 800-328-4058.
Orthotic and Prosthetic Reimbursement Information and Clinical Studies
| TITLE / DESCRIPTION | ||
|---|---|---|
Medicare Documentation Guideline and Checklist for Lower Limb Prosthetics |
Updated 1.12.2012 |
Download (PDF | 115.9 KB) |
Medicare Documentation Guideline and Checklist for Upper Limb Prosthetics |
Updated 1.12.2012 |
Download (PDF | 118.5 KB) |
|
Helix Billing Coding Justification |
Download (PDF | 167.6 KB) |
|
Otto Bock Microprocessor Knees: Clinical Evidence and Background Information |
Download (PDF | 416.3 KB) |
|
E-MAG Active Coding Justification |
Download (PDF | 78.9 KB) |
|
Sensor Walk Reimbursement Information |
Download (PDF | 221.1 KB) |
|
L-Codes: Suggested Orthotic and Prosthetic Codes (Applies to U.S. only) |
Updated 11.10.2011 |
Download (PDF | 366.5 KB) |
Comparison of interface pressures with pin and suction suspension systems. |
Download (PDF | 97.4 KB) |
|
Vacuum Suspension and its Effects on the Limb |
Download (PDF | 451.4 KB) |
|
A comparison of trans-tibial amputee suction and vacuum socket conditions. |
Download (PDF | 540.2 KB) |
|
Interface pressures during ambulation using suction and vacuum-assisted prosthetic sockets. |
Download (PDF | 331.6 KB) |
|
Walking in a vacuum-assisted socket shifts the stump fluid balance |
Download (PDF | 996.2 KB) |
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Trans-tibial prosthesization in large area of residual limb wound: Is it possible? A case report
|
more |
|
Vacuum assisted socket system in trans-tibial amputees: Clinical report |
more |
Suggested Mobility Codes & Reimbursement Information
| TITLE / DESCRIPTION | ||
|---|---|---|
Manual Wheelchair Documentation Requirements |
Updated 11.09.2011 |
Download (PDF | 157.4 KB) |
Manual Wheelchair Coverage Criteria |
Updated 11.09.2011 |
Download (PDF | 165.7 KB) |
OBSS Reimbursement Information |
Download (PDF | 255.7 KB) |
|
Suggested Rehab / DME Codes (Applies to U.S. only) |
Updated 2.17.2011 |
Download (PDF | 214.4 KB) |
