Re: L-Code Clarification

[Guest guest]

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

[Guest guest]

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

>