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C-LegŪ Clinical Studies & Insurance Information

   
Otto Bock has developed material to help practitioners obtain the best possible reimbursement outcome for the C-Leg microprocessor knee. Remember that the documentation and justification for reimbursement must be unique to the patient and the components being fit. This information can only be effectively drafted by the Prosthetist fitting the patient. 

The reimbursement information includes:

 

Reimbursement overview

Checklist for reimbursement submission 

Appealing reimbursement denial 

How your patients can help 

L-Code Options for C-Leg and Compact Microprocessor Knees

Published peer reviewed clinical research


Online resource to making appeals regarding health claims

Insurance Coverage 
(These policies are under the control of the administrating organization and are subject to change at any time. Benefits are not guaranteed even though a policy does exist.)

BCBS Medical Coverage Guidelines

AK - Premera BCBS of Alaska and Washington State
AL - BCBS of Alabama
AR - BCBS of Arkansas
AZ - BCBS of Arizona
CA - BCBS of California
FL - BCBS of Florida
IA - Wellmark BCBS of Iowa and South Dakota
ID - Regence Blue Shield of Idaho
IL - BCBS of Illinois
MN - BCBS of Minnesota
MS - BCBS of Mississippi

ND - BCBS of North Dakota

NE - BCBS of Nebraska
NM - BCBS of New Mexico
NY - Excellus BCBS - Serving Central New York
OH - Mountain State BCBS - Serving West Virginia and Washington County, Ohio
OK - BCBS of Oklahoma
OR - Regence BCBS of Oregon
PA - Blue Cross of Northern Pennsylvania
PA - Highmark BCBS - Servicing the 29 counties of Western Pennsylvania
PA - Independence BCBS - Serving Southeastern Pennsylvania and Philadelphia
SC - BCBS of South Carolina
SD - Wellmark BCBS of Iowa and South Dakota
TX - BCBS of Texas
UT - Regence Blue Shield of Washington
WA - Premera BCBS of Alaska and Washington State
WA - Regence Blue Shield of Washington
WV - Mountain State BCBS - Serving WV and Washington County, Ohio

 

Medicare Medical Policy by Region

   Region A/B             


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