tci Outpatient Facility Coding Alert - 2012 Issue 6

Reader Question: File L3260, But Don't Expect Extra Pay

Question: Do insurance companies pay for footwear in an ASC, such as surgical boots? Answer: Under Medicare, codes for certain supplies such as L3260 (Surgical boot/shoe, each) often fall under the category of "special coverage instructions." In the instance of L3260, the supply is covered when provided in an ASC setting, but the payment is already included in payment for the primary procedure or service. Non-Medicare payers often follow suit, but some may provide additional reimbursement. Include the code on your claim, but realize that you likely won't get separate payment. Leg, arm, back and neck braces, on the...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.

TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!