Healthcare News: CMS Recovery Auditors target documentation and HCPCS coding for knee orthoses

Article Overview

This article summarizes Medicare compliance guidance affecting suppliers and clinicians who document, code, and bill knee orthoses. It explains the broad distinctions among prefabricated, custom-fitted, and custom-fabricated orthoses, describes the kind of documentation Medicare expects, and highlights why accurate HCPCS Level II reporting matters for avoiding denials and audit risk. The piece is most relevant to physician and non-physician practitioners, suppliers, and coding or compliance staff working with lower-extremity orthotic claims.