2010 Updates to Level II Healthcare Common Procedure Coding System Codes
Share |

2010 Updates to Level II Healthcare Common Procedure Coding System Codes

The following identifies changes made to the Level II Healthcare Common Procedure Coding System (HCPCS) codes for 2010 of interest to the pedorthic community.  All of these changes, along with the most current DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PA) for Medicare's Therapeutic Shoes for Persons with Diabetes benefit (TSD) and AFO-KAFO benefit and 2010 DMEPOS fees schedules, are included in PFA's pedorthic HCPCS coding manual, Modern Coding for Foot & Ankle DMEPOS HCPCS Codes - An Analysis, Explanation and Clarification by the PFA Coding Committee.

New AFO-KAFO Code:

A4466 – GARMENT, BELT, SLEEVE OR OTHER COVERING, ELASTIC OR SIMILAR STRETCHABLE MATERIAL, ANY TYPE, EACH (Note:noncovered)

This code is effective for dates of service on or after January 1, 2010.

Narrative Change to L4396:

Old Narrative:  STATIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, PRESSURE REDUCTION, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT.

New Narrative:  STATIC OR DYNAMIC FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT.

This change is effective for dates of service on or after January 1, 2010.

Discontinued Code:

L2770 – ANKLE ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA).

L2770 crosswalked to new AFO-KAFO Code A4466 (see above).

The L2770 will be accepted for dates of service on or before December 31, 2009.  The A4466 will be accepted for dates of service on or after January 1, 2010.

Association Management Software Powered by YourMembership  ::  Legal