Guest guest Posted January 29, 2011 Report Share Posted January 29, 2011 This is correct for many of the codes, however some of the codes do not include fit and adjustment and billing the appropriate CPT for your time is appropriate. The L-code descriptor should have " includes fit & adj " next to the descriptor if this cost is already included in the L-code price/reimbursement. Hoag PT Sent from my iPhone Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2011 Report Share Posted February 1, 2011 I am not awaare of any 90 day global attached to the Lcodes for return visits for fit and adjust. We have been billing 97762, splint check for fit and adjust on some subsequent visits and have not been denied (I know that doesn't necessarily mean it is correct) so I would like to be sure about this. Does anyone have a specific reference to this? I cannot find one on my coding subscription or coding book. Also, my clients sometimes charge for an evaluation when fabricating a splint, even if the patient is not returning for therapy. Where is a reference to the fact that an evaluation is included in the splint fabrication code? Thanks in advance, Cheri Freeman,CMRS Healthcare Reimbursement Svcs. Austin, Tx > > > I had a question for the group about L-codes. When reading up on this charge code it is my understanding that this code includes the: > 1) Evaluation > 2) Fitting of the splint > 3) Material and supplies > 4) Any return visits for adjustments/modifications of this splint for > the next 90 days. > > If I understand correctly, I am able to charge an orthotic fitting charge on the day I make the splint and any return visits for the time I do training with the patient. > > Is this a correct understanding? > I always wondered why the price on these codes was so high, but now that I understand it includes any return visits for modification and the initial evaluation I can more clearly can understand. > Thanks, > Kelley, OTR/L, CLT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2011 Report Share Posted February 1, 2011 I am not awaare of any 90 day global attached to the Lcodes for return visits for fit and adjust. We have been billing 97762, splint check for fit and adjust on some subsequent visits and have not been denied (I know that doesn't necessarily mean it is correct) so I would like to be sure about this. Does anyone have a specific reference to this? I cannot find one on my coding subscription or coding book. Also, my clients sometimes charge for an evaluation when fabricating a splint, even if the patient is not returning for therapy. Where is a reference to the fact that an evaluation is included in the splint fabrication code? Thanks in advance, Cheri Freeman,CMRS Healthcare Reimbursement Svcs. Austin, Tx > > > I had a question for the group about L-codes. When reading up on this charge code it is my understanding that this code includes the: > 1) Evaluation > 2) Fitting of the splint > 3) Material and supplies > 4) Any return visits for adjustments/modifications of this splint for > the next 90 days. > > If I understand correctly, I am able to charge an orthotic fitting charge on the day I make the splint and any return visits for the time I do training with the patient. > > Is this a correct understanding? > I always wondered why the price on these codes was so high, but now that I understand it includes any return visits for modification and the initial evaluation I can more clearly can understand. > Thanks, > Kelley, OTR/L, CLT > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.