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Local Coverage Determination (LCD): KNEE ORTHOSES …

 · L L, L, L L None L L, L, L L L, L, L, L L None L L The following table lists addition codes which describe components or features that can be physically incorporated in the specified prefabricated base orthosis but are considered not reasonable and necessary.

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L HCPCS Code

l The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs.

Local Coverage Determinations (LCDs)

CMS has contracted with CGS to process Durable Medical Equipment, Prosthetic, Orthotic and Supply (DMEPOS) claims for Jurisdiction C. This responsibility includes the development of Local Coverage Determinations (coverage policies).

L

L is a valid HCPCS code for Addition to lower extremity orthosis, knee control, condylar pad or just "Knee control condylar pad" for short, used in Lump sum purchase of DME, prosthetics, orthotics.

Local Coverage Article for Knee Orthoses

k, l, l, l, l, l, l, l, l, l, l L The following table lists addition codes which describe components or features that can be physically incorporated in the specified custom fabricated bases orthosis but that are considered to be included in the allowance for the orthosis.

Article Detail

 · K, L, L, L, L, L, L, L, L, L, L, L: L: K, L, L, L . Custom Fabricated Knee Orthoses: These same rules apply to custom fabricated knee orthoses. The addition codes will be denied as not reasonable and necessary if the base orthosis or the addition is not reasonable and necessary.

Upcoming Code Edits (Effective June 1, )

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Active LCDs

On April 6, , the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment (CMS--IFC) instructing the DME MACs to suspend or not enforce various requirements found in local coverage determinations and related policy articles.

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Active LCDs

On April 6, , the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment (CMS--IFC) instructing the DME MACs to suspend or not enforce various requirements found in local coverage determinations and related policy articles.

Medical Policy

k, l, l, l, l, l, l Custom fabricated addition codes The following table lists addition codes which describe components or features that can be physically incorporated in the specified custom fabricated base orthosis but that are considered to be included in the allowance for the orthosis.

Addition to lower extremity orthosis, knee control

HCPCS code L for Addition to lower extremity orthosis, knee control, condylar pad as maintained by CMS falls under Other Lower Extremity Additions . Subscribe to Codify and get the code details in a flash. Request a Demo 14 Day Free Trial Buy Now. Official Long Descriptor.

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L Knee control condylar pad

 · L

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 · Description Claims for knee orthoses with dates of service within the reasonable useful lifetime from the date of service of a previously-paid identical knee orthosis (identical HCPCS code) for the same beneficiary, for the same anatomical site, will be denied as the reasonable useful lifetime requirement has not been met. Affected Code(s).