Orthotics - JD DME
Orthotics
Coverage
- Ankle-Foot (AFO)/Knee-Ankle-Foot (KAFO) Orthosis Local Coverage Determination (LCD) and Policy Article [PDF]
- Knee Orthoses LCD and Policy Article [PDF]
- Spinal Orthoses: TLSO and LSO LCD and Policy Article [PDF]
Documentation
- AFO/KAFO Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
- Knee Orthosis Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
- Spinal Orthosis Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
Reviews/Audits
- Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
Tips
Topic | Details |
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Custom Fabricated |
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Custom Fabricated Item Cancelled |
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Custom Fitted |
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Item Provided Prior to Surgery |
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Replacement |
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RT/LT Modifiers |
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Resource
Last Updated Mon, 04 Jan 2021 14:26:29 +0000
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.