You recently replied to a question in The O&P EDGE, and the L-Code description you gave was very detailed. Where can I find a list of L-Codes with long descriptions, rather than the short ones I have viewed on the Medicare Region D website?
For a detailed description of an L-Code, I usually refer to the following PDF file: www.cignagovernmentservices.com/jc/pubs/pdf/appa.pdf. The local coverage determination (LCD) section provides detailed descriptions for each L-Code. For example, if you need to look up the description of L-1970, you would go to the LCD section for AFOs, which can be found at www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=11517&lcd_version=46&show=all. Please let me know if you find these sites useful. Q: If I bill for bilateral custom shoes (2X) A-5501, can I bill for the custom inserts as (2X) A-5513, or are they included in the A-5501 code? For example, I am billing the shoes with toe filler as (2X) A-5501 and L-5000 (1X). Would I bill for the A-5513 on the other side? A: When you are billing Medicare for patients who meet the coverage criteria for bilateral custom shoes, you would bill A-5501 RT LT KX 2 units (pair). The A-5501 (one pair of custom-molded shoes) includes a pair of inserts (A-5513 RT LT KX). Y
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