Directory

Description:

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

This code is commonly billed along side of Diabetic Inserts A-Codes

This code is commonly billed along side of Diabetic Inserts A-Codes

Shoes Modification Codes

A5503- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe

A5504- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe

A5505- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe

A5506- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe

A5507- For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

A5508- For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

This code is commonly billed along side of Diabetic Inserts A-Codes

The following add-on codes may be used for this base code (only code for what you use):

Shoes Modification Codes

A5503- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe

A5504- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe

A5505- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe

A5506- For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe

A5507- For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

A5508- For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5510-For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe

We do not suggest billing add-on codes with the base code above. However, this code is commonly billed along side of Diabetic Shoe A-Codes

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5512-For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each

We do not suggest billing add-on codes with the base code above. However, this code is commonly billed along side of Diabetic Shoe A-Codes

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A5513-For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping material, custom fabricated, each

We do not suggest billing add-on codes with the base code above. However, this code is commonly billed along side of Diabetic Shoe A-Codes

A5500-For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe

A5501-For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe

ICD10 Code:: E11-Type 2 diabetes mellitus
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8000-Helmet, protective, soft, prefabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

 

Orthotic or Prosthetic Lcodes: Ox-Spinal
ICD10 Code:: F84.0-Autistic disorder
Manufacturer: Danmar 9820 soft shell helmet,
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8001-Helmet, protective, hard, prefabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

 

Orthotic or Prosthetic Lcodes: Ox-Spinal
ICD10 Code:: f84.0-Autistic disorder
Manufacturer: Orthomerica® Pediatric A-Flex™ Protective Headgear, Danmar 9821 Hard Shell Helmet
Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8002-Helmet, protective, soft, custom fabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

Orthotic or Prosthetic Lcodes: Ox-Spinal
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8003-Helmet, protective, hard, custom fabricated, includes all components and accessories

We do not suggest billing add-on codes with the base code above. 

Orthotic or Prosthetic Lcodes: Ox-Spinal
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

A8004-Soft interface for helmet, replacement only

We do not suggest billing add-on codes with the base code above. 

Orthotic or Prosthetic Lcodes: Ox-Spinal
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

E0770-Functional electrical stimulator, transcutaneous stimulation of nerve and/or muscle groups, any type, complete system, not otherwise specified

Commonly associated with the WalkAide System which includes: Control Unit, lead cables, Bi-Flex cuff, 4 electrodes (1 pack = 1 month supply)

The following add-on codes may be used for this base code (only code for what you use):

A4595-Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)

WalkAide Electrodes: Single Pack
1 pack per Month = 4 Leads = 2 sets Input as quantity of 2 units

E1399-Durable medical equipment, miscellaneous

ICD10 Code:: M1.37- Foot Drop, G81.00 Hemiparesis unspecified side, I63.0-Cerebral infarction due to thrombosis of precerebral arteries
Manufacturer: Innovative Neurotronics
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0112-Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M43.6-torticollis
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0113-Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M43.6-torticollis
Manufacturer: RMI Restorative™ Kentucky Collar Cervical Brace, TOT Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0120-Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)

We do not suggest billing add-on codes with the base code above. 

Manufacturer: DeRoyal® Medium Density Cervical Collar, Bell-Horn Sized Cervical Collar, Ossur® Universal Cervical Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0130-Cervical, flexible, thermoplastic collar, molded to patient

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M54.2-Cervicalgia
Manufacturer: AliMed® Headmaster Collar,
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0140-Cervical, semi-rigid, adjustable (plastic collar)

We do not suggest billing add-on codes with the base code above. 

 

ICD10 Code:: Z93.0-Tracheostomy
Manufacturer: Corflex Pediatric Ambu Perfit Collar, Ossur® One-Piece Collar, Freeman Thomas-Type Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0150-Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: S13-Dislocation and sprain of joints and ligaments at neck level
Manufacturer: DeRoyal® EMT Select Extrication Collar, DeRoyal® Ambu® Perfit ACE Extrication Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0160-Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M54.2-Cervicalgia
Manufacturer: Trulife LA Wire Frame Cervical Orthosis
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0170-Cervical, collar, molded to patient model

We do not suggest billing add-on codes with the base code above. 

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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0172-Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M54.2-Cervicalgia, S13-Dislocation and sprain of joints and ligaments at neck level
Manufacturer: Aspen® Vista® Collar, Aspen® Sierra™ Universal Collar, Breg® Cervical Collar With Open Trachea
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0174-Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

We do not suggest billing add-on codes with the base code above.

 

ICD10 Code:: S10-Superficial injury of neck, S12-Fracture of cervical vertebra and other parts of neck, S13-Dislocation and sprain of joints and ligaments at neck level
Manufacturer: Aspen® Vista® TX Collar, Townsend eclipse® CERVICAL COLLAR, Ossur Miami Jr.® Cervical Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0180-Cervical, multiple post collar, occipital/mandibular supports, adjustable

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: M54.2-Cervicalgia, S13-Dislocation and sprain of joints and ligaments at neck level, M48.02-Spinal stenosis in cervical region
Manufacturer: Aspen® Vista® MP (Multipost Collar), Optec PROGLIDE® Cervical Collar, Ottobock Cervical SOM Orthosis, Aspen® Vista® Multipost Therapy Collar, Trulife Malibu Cervical Collar
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0190-Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: S12-Fracture of cervical vertebra and other parts of neck, S13-Dislocation and sprain of joints and ligaments at neck level, S16-Injury of muscle, fascia and tendon at neck level, M45.2Ankylosing spondylitis of cervical region, M45.3-Ankylosing spondylitis of cervicothoracic region
Manufacturer: Optec Chelsea CTO, Trulife S.O.M.I.® Brace, Cybertech™ Mini-Minerva Orthosis
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0200-Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension

We do not suggest billing add-on codes with the base code above. 

ICD10 Code:: S12.0 Fracture of first cervical vertebra, S12.1 Fracture of second cervical vertebra, S12.2 Fracture of third cervical vertebra, S12.3 Fracture of fourth cervical vertebra, S12.4 Fracture of fifth cervical vertebra
Manufacturer: Aspen® Vista® CTO4, Trulife Johnson Cervical Thoracic Orthosis, Aspen® CTO, Aspen® Vista® CTO2, Cybertech™ Minerva Orthosis
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Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
Description:

L0220-Thoracic, rib belt, custom fabricated

We do not suggest billing add-on codes with the base code above. 

Disclaimer: Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.