L1970

The Blaze MI AFO is designed to specifically control the medial side, addressing conditions such as PTT posterior tibial tendonitisexcessive pronation, tibialis dysfunction and internal rotation among others. The Malleolar Window provides control and comfort. The superior placement of the medial articulation and the broad medial surface prevents discomfort and skin breakdown to the medial malleolus.

I now have a hinged afo but I am experiencing a great deal of pain. I had a red stroke in walk with a hemicain but because of the pain the walking is getting to be very limited. I live in Peru Illinois and do not drive and it is difficult to get transport out of town.

l1970

Hello Ronald, We have a 7 day trial period, where you can purchase the Step Smart Brace and try it out for 7 days after you receive it. We use the United States Priority Mail service so it would be shipped directly to your home. I have sent you a more detailed email along with an attached brochure for you to review.

Please feel free to contact us directly for further information. My blaze MI brace is just over three years old. When I first got them they were great but as time has gone by my feet hurt again. Not as bad as without them but bad enough to limit my walking. What is the lifespan of a pair.

L1970 : HCPCS Code (2020)

Hi Eric- Thanks for contacting us-It could very well be time for a new brace or at least a refurbishment of the one you have. I would suggest going back to your podiatrist and discussing the issues you are experiencing. Hi my wife had a stroke and now wears a AFO but complains it hurts her toes and leg so we are looking for another alternative. Can you let me know if anyone in my area. I live in Southampton, NY. Hi Gabrielle, I did look through our current custom brace companies and could not find anything close to you there on the southern fork.

I have had these braces for several years. My doctor only sent in a slipper cast at the time of ordering. The rivet on the inside of the brace rubs my malleolus. The window is too low. Can you make the brace with the malleolus window higher up? I also have very thin ankles. When I tighten the Velcro strap, that causes the rivet to drive into my ankle. I have been using a home made rig to relieve the pain of the rivet rubbing my ankle. HI John, sorry you are experiencing discomfort with the brace- I believe you hit the nail on the head by citing the slipper cast as an issue.

Can you go back to the practitioner and explain to them the problems you are having? How long ago did you get the brace? Contact us at sales insightfulproducts. This is the best brace I have ever used. Great support and quality workmanship. Thank you! I need help track an order for The afo I ordered for My brother I had the email confirmation sent To him but email confirmation has not been received Nor the product.Ankle foot orthosis, spiral, institute of rehabilitative medicine typeplastic, custom fabricated.

Long description: Ankle foot orthosis, spiral, institute of rehabilitative medicine typeplastic, custom fabricated. Short description: Afo spiral molded to pt plas. Browse all modifiers. A modifier provides the means by which the reporting physician or provider can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.

Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional and technical component.

A service or procedure has been increased or reduced. Only part of a service was performed. An adjunctive service was performed. A bilateral procedure was performed. A service or procedure was provided more than once. Unusual events occurred. Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.

The carrier assigned CMS type of service which describes the particular kind s of service represented by the procedure code.

l1970

Home L Codes L Modifier Description. View All Modifiers Previous Next. Code used to identify instances where a procedure could be priced under multiple methodologies.

Effective date of action to a procedure or modifier code.Aetna considers ankle orthoses, ankle-foot orthoses AFOsand knee-ankle-foot orthoses KAFOs medically necessary durable medical equipment DME according to the criteria set forth below. See background section of this clinical policy bulletin CPB for descriptions of the orthotics discussed in this policy.

Aetna considers ankle orthoses medically necessary DME for members who meet the criteria set forth below.

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See background section of CPB for descriptions of each of these orthotics. Static or dynamic positioning ankle foot orthoses ankle contracture splints and foot drop splints.

Aetna considers static or dynamic positioning ankle-foot orthoses medically necessary DME if all of the following criteria are met:. If a static or dynamic positioning ankle-foot orthosis is used for the treatment of a plantar flexion contracture, the pre-treatment passive range of motion must be measured with a goniometer and documented in the medical record.

There must be documentation of an appropriate stretching program carried out by professional staff in a nursing facility or caregiver at home. A static or dynamic positioning ankle-foot orthosis is considered medically necessary for plantar fasciitis. A static or dynamic positioning ankle-foot orthosis and replacement interface is not considered medically necessary for the following indications:. Note : In addition, under HMO plans, a static or dynamic positioning ankle-foot orthosis and replacement interface is not considered medically necessary when it is used solely for the prevention or treatment of a heel pressure ulcer because Medicare does not consider it medically necessary for these indications.

A component of a static or dynamic positioning ankle-foot orthosis that is used to address positioning of the knee or hip is considered experimental and investigational because the effectiveness of this type of component is not established. Additions to AFOs or KAFOs are not considered medically necessary if either the base orthosis is not medically necessary or the specific addition is not medically necessary.

Ankle-foot orthoses AFO are considered medically necessary DME for ambulatory members with weakness or deformity of the foot and ankle, which require stabilization for medical reasons, and have the potential to benefit functionally.

AFOs are not considered medically necessary for ambulatory members who do not meet these medical necessity criteria. KAFOs are not medically necessary and are not covered for ambulatory members who do not meet these coverage criteria.

Concentric adjustable torsion style mechanisms used to assist knee joint extension are considered medically necessary for members who require knee extension assist in the absence of any co-existing joint contracture. Concentric adjustable torsion style mechanisms used to assist ankle joint plantarflexion or dorsiflexion are considered medically necessary for members who require ankle plantar or dorsiflexion assist in the absence of any co-existing joint contracture.

Aetna does not consider ankle orthotics, AFOs, and KAFOs medically necessary treatment of disease when used to prevent injury in a previously uninjured ankle or knee. Such use is solely preventive, and therefore is considered not considered medically necessary treatment of disease or injury.

In addition, many Aetna plans exclude coverage of safety items. Replacement of a complete ankle orthosis, AFO, or KAFO or component of these orthoses due to a significant change in the member's condition or irreparable wear is considered medically necessary DME if the device is still medically necessary.

Identical spare orthotics purchased for the member's convenience is not considered medically necessary. Aetna does not consider ankle orthotics, AFOs, and KAFOs medically necessary if they are to be used only during participation in sports. Such use is considered not medically necessary, as participation in sports is considered an elective activity. An orthosis brace is a rigid or semi-rigid device that is used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body.

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An orthosis can be either pre-fabricated or custom-fabricated. A pre-fabricated off-the-shelf orthosis is one that is manufactured in quantity without a specific patient in mind. A pre-fabricated orthosis may be trimmed, bent, molded with or without heator otherwise modified for use by a specific patient i. An orthosis that is assembled from pre-fabricated components is considered pre-fabricated. Any orthosis that does not meet the definition of a custom-fabricated custom-made orthosis is considered pre-fabricated.

A custom-fabricated custom-made orthosis is one that is individually made for a specific patient starting with basic materials including, but not limited to, plastic, metal, leather, or cloth in the form of sheets, bars, etc.

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It involves substantial work such as cutting, bending, molding, sewing, etc. It may involve the incorporation of some pre-fabricated components. It involves more than trimming, bending, or making other modifications to a substantially pre-fabricated item.Ankle foot orthosis, plastic with ankle joint, custom fabricated.

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Long description: Ankle foot orthosis, plastic with ankle joint, custom fabricated. Browse all modifiers. A modifier provides the means by which the reporting physician or provider can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. Modifiers may be used to indicate to the recipient of a report that: A service or procedure has both a professional and technical component.

A service or procedure has been increased or reduced. Only part of a service was performed. An adjunctive service was performed. A bilateral procedure was performed. A service or procedure was provided more than once. Unusual events occurred. Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes. The carrier assigned CMS type of service which describes the particular kind s of service represented by the procedure code.

Home L Codes L Modifier Description. View All Modifiers Previous Next. Code used to identify instances where a procedure could be priced under multiple methodologies.

Effective date of action to a procedure or modifier code. Number identifying statute reference for coverage or noncoverage of procedure or service. Email address. Cancel Send.The codes are divided into two levels, or groups, as described Below: Level I Codes and descriptors copyrighted by the American Medical Association's current procedural terminology, fourth edition CPT These are 5 position numeric codes representing physician and nonphysician services.

Any other use violates the AMA copyright.

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These are 5 position alpha-numeric codes comprising the d series. These are 5 position alpha- numeric codes representing primarily items and nonphysician services that are not represented in the level I codes. Short descriptive text of procedure or modifier code 28 characters or less. The AMA owns the copyright on the CPT codes and descriptions; CPT codes and descriptions are not public property and must always be used in compliance with copyright law.

Contains all text of procedure or modifier long descriptions. Code used to identify instances where a procedure could be priced under multiple methodologies. Multiple Pricing Indicator Code Description. Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes. Description of Pricing Indicator Code 1. The date that a record was last updated or changed. Effective date of action to a procedure or modifier code.

Last date for which a procedure or modifier code may be used by Medicare providers.

l1970

Action Code Description. The base unit represents the level of intensity for anesthesia procedure services that reflects all activities except time. Note: the payment amount for anesthesia services is based on a calculation using base unit, time units, and the conversion factor. This field is valid beginning with data.

Number identifying the reference section of the coverage issues manual. Number identifying a section of the Medicare carriers manual. Number identifying statute reference for coverage or noncoverage of procedure or service. Code used to classify laboratory procedures according to the specialty certification categories listed by CMS.

Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)

Any generally certified laboratory e. An explicit reference crosswalking a deleted code or a code that is not valid for Medicare to a valid current code or range of codes. A code denoting Medicare coverage status. Coverage Code Description.

The 'YY' indicator represents that this procedure is approved to be performed in an ambulatory surgical center. The date the procedure is assigned to the ASC payment group. Medicare outpatient groups MOG payment group code. The date the procedure is assigned to the Medicare outpatient group MOG payment group. The carrier assigned CMS type of service which describes the particular kind s of service represented by the procedure code.

The Healthcare Common Prodecure Coding System HCPCS is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs. Short Description. Code Description. Multiple Pricing Indicator Code. Pricing Indicator Code 1. Pricing Indicator Code 1 Description.Tagaloa-Tulifau, D. What are the required diagnosis to bill for a Richie Brace? Thanks Mafutaga S. Lakewood, CA tagaloatulifau earthlink.

Obviously, the medical necessity for these must be clearly documented. As far as the professional impression casting codes and reimbursement, generally Medicare DMERC includes both the casting and the casting supplies in the allowance for L Non- Medicare payers vary in their approach toward paying for the casting for the device. It is recommended for non-Medicare payers that you contact the insurance carrier and asking for their policy on casting payment.

If there is no policy, you may wish to bill CPT unlisted casting service when creating the cast impression for the brace. The Richie Brace is commonly used in the treatment of posterior tibial dysfunction dysfunctional flatfoot. A listing of potential diagnoses - based on the actual clinical findings - include, but are not limited to: ICD-9 Tagaloa- Tulifau, D.

Ped SafeStep offers a completely free way to streamline Medicare billing. Suggested L codes, allowable amounts by region and required paperwork is presented in a logical, easy to use way. For an example of how the process works, visit www. SafeStep can also send podiatrists, for free, all the required forms, already filled out, to assist them in getting their DME Supplier number.

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Highlights from Current Issue. Highlights from Recent Issues.Nav Menu 2. The Accord ankle brace II offers more stability than regular ankle supports, providing the foundation for successful ankle injury prevention and treatment.

It is a low profile, lightweight ankle brace that prevents abnormal ankle inversion, eversion, and rotation while allowing natural, unrestricted dorsi and plantar-flexion. The combination of soft goods with a rigid, foot plate, and adjustable calf cuff provides unsurpassed levels of control, fit and su pport. Features Front closure system facilitates simple and secure application Adjustability of the calf cuff creates a better fit and reduces inventory Rigid medial and lateral uprights prevent abnormal eversion and inversion and provide protection during activity Functional hinge design allows for utilization of the brace prophylacticly, after acute injuries and during rehabilitation Eliminates irritating pressure on the ankle with special designed softgoods The unique footplate material is heat formable at higher temperatures.

Small Medium Large. Left Right. Women's Shoe Size. Men's Shoe Size. Related Products Ossur Exoform Ankle Brace. Donjoy Velocity Ankle Brace. Ossur Form Fit Ankle Brace.


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