BC Advantage - 2016 Issue 11

Spotlight on DME (Durable Medical Equipment) - Part 2

Last issue (Issue 11.5-September/October 2016), we began this article on DME; this is the second and final installment. I am including the Table (Table C) referenced in the first part to show the Cross-Walk.  You will notice that HCPCS code L0631 cross-walked to L0648 and L0631. Therefore, the code that was being billed, L0631, became the code for the back brace orthotic that required "fitting to a specific patient by an individual with expertise."Code L0648 became the new code for a back brace OTS that requires "minimal self-adjustment." In the ZPIC audit referred to part...

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