ReimbursementNews musculoskeletal or neuromuscular dysfunction . The AFO is designed to provide rigid immobilization of the anklefoot complex in the sagittal , coronal and transverse planes . The custom fabricated solid ankle AFO can be constructed from thermosetting materials , thermoplastics or composite type materials . The proximal boarder of an Ankle Foot Orthosis ( L1960 ) shall extend to a height no greater than 1.5 inches distal to the apex of the head of the fibula .
Effective for claims with dates of service on or after April 1 , the only products that may be billed to Medicare using code L1906 ( Ankle Foot Orthosis , Multiligamentus Ankle Support , Prefabricated , Includes Fitting and
Adjustment ) are those for which a written coding verification has been made by the PDAC contractor and that are listed in the Product Classification Matrix of the DME Coding System ( DMECS ) maintained on the PDAC website , www . dmepdac . com / dmecsapp / do / search . Products that have not received coding verification review from the PDAC must be billed with code A9270 .
For questions about correct coding , contact the PDAC Contact Center at ( 877 ) 735-1326 during the hours of 8:30 a . m . to 4:00 p . m . Central Time , Monday through Friday , or email the PDAC by completing the DME PDAC Contact Form located on the PDAC website : www . dmepdac . com .
This information will be added to a future revision of the AFO LCD and related policy article .
HCPCS Review : Product Labeling and Product Sample Requirements for Coding Verification
Effective Feb . 1 , 2012 , the Pricing , Data , Analysis and Coding contractor ( PDAC ) will require a permanent label with the manufacturer ’ s name , product name and model number to be affixed to all products that require a sample product
BirkoClassic Black
Only $ 22.50 per pair
• Blue Footbed mold
• POP Boxed
• Adjustment bar
• Available wide , medium & narrow
BirkoClassic Green
Only $ 20.00 per pair
• Blue Footbed mold
• Value Priced
• Adjustment bar
• Available wide & medium
Also
• BirkoBalance
• BirkoBasic
• BirkoContact
• BirkoNatural
• BirkoSport
BINTZ COMPANY
800-235-8458 www . bintzco . com
PFA Silver Sponsor 2010 PFA Vendor of the Year
Current Pedorthics January | February 2012 37