L0160 Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf...
L0160 - Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf
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The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.
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Medicare - Carrier Priced
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* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
Medicare vs. My Fee Evaluation
Modifier | Medicare Allowed | 150% | 200% | My Fee |
---|---|---|---|---|
(none) | $193.72 | $290.58 | $387.44 | (your fee) |
Access to calculated fee values is available. Access to this feature is available in the following products:
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Medicare Participating - Assignment Accepted (Mandatory)
Modifier | Allowed | Medicare 80% | Patient Pays |
---|---|---|---|
(none) | $193.72 | $##.## | $##.## |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
---|---|---|---|---|
(none) | $##.## | $##.## | $##.## | $##.## |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
---|---|---|---|---|
(none) | $##.## | $##.## | $##.## | $##.## |
Medicare vs. My Fee Evaluation
Modifier | Medicare Allowed | 150% | 200% | My Fee |
---|---|---|---|---|
(none) | $193.72 | $290.58 | $387.44 | (your fee) |
Access to calculated fee values is available. Access to this feature is available in the following products:
Note: Subscribers will see the calculated values below. |
Medicare Participating - Assignment Accepted (Mandatory)
Modifier | Allowed | Medicare 80% | Patient Pays |
---|---|---|---|
(none) | $193.72 | $##.## | $##.## |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
---|---|---|---|---|
(none) | $##.## | $##.## | $##.## | $##.## |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
---|---|---|---|---|
(none) | $##.## | $##.## | $##.## | $##.## |
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View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.
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View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. Access to this feature is available in the following products:
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View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Access to this feature is available in the following products:
Note: Subscribers will see the fee graphs below. |
View relationships (or crosswalks) between code sets. Access to this feature is available in the following products:
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