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Ankle-Foot Orthoses - Walking Boots - Coverage and Coding Issues – Revised

Tuesday, July 15, 2014   (0 Comments)
Posted by: Brian Lagana
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Ankle-Foot Orthoses - Walking Boots - Coverage and Coding Issues – Revised

 

HCPCS codes L4360, L4361, L4386 and L4387 describe an ankle-foot orthosis commonly referred to as a walking boot. Walking boots that are used to provide immobilization as treatment for an orthopedic condition or following orthopedic surgery are eligible for coverage under the Brace benefit. When walking boots are used primarily to relieve pressure, especially on the sole of the foot, or are used for patients with foot ulcers, they are non-covered - no benefit category. Medicare covers therapeutic shoes, as described in the Therapeutic Shoes for Persons with Diabetes local coverage determination (LCD), for the prevention and treatment of diabetic foot ulcers.  Click here to read the complete article.


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