In most cases, the Arizona AFO is covered by Medicare reimbursement when prescribed by a physician for approved applications. However it is the patient’s responsibility to verify coverage and secure any necessary pre-approvals.
The Arizona AFO is usually covered for approved applications by most health insurance plans. However it is the patient’s responsibility to verify coverage and secure any necessary pre-approvals. Always consult your health plan.
Various l-codes and descriptors that may be used in billing medicare
A leather, or similar material, lacer molded from a model of the patient, that fits around the calf area, includes casting and cast preparation.
A semi-rigid molded plastic orthosis to hold the foot in neutral position (dorsi -plantar flexion), controls foot position, custom molded from a model of the patient, custom fabricated, includes casting and cast preparation.
1960 A rigid orthosis to control the foot and ankle, custom molded from a model of the patient, custom fabricated, includes casting and cast preparation.
L-2820 Addition to Lower Extremity Orthosis, Soft Interface for Molded Plastic, Below Knee Section.
Standard-Short
(L-1940, L-2330, L-2820, - For a total of three codes)
Standard-Tall
(L-1940, L-2330, L-2820, - For a total of three codes)
Extended
(L-1960, L-2330, L-2820 For a total of three codes)
Unweighting
(L-1960, L-2330, L-2820 For a total of three codes)
Partial Foot
(L-1940, L-2330, L-2820, L-5000 For a total of four codes)
The final and sole responsibility for the correct coding, within established laws, rules, and standards of practice, rests upon the party submitting the claim.