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Date Printed: October 22, 2014: 06:19 PM

Private Property of Blue Cross and Blue Shield of Florida.
This medical policy (medical coverage guideline) is Copyright 2014, Blue Cross and Blue Shield of Florida (BCBSF). All Rights Reserved. You may not copy or use this document or disclose its contents without the express written permission of BCBSF. The medical codes referenced in this document may be proprietary and owned by others. BCBSF makes no claim of ownership of such codes. Our use of such codes in this document is for explanation and guidance and should not be construed as a license for their use by you. Before utilizing the codes, please be sure that to the extent required, you have secured any appropriate licenses for such use. Current Procedural Terminology (CPT) is copyright 2014 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association. The use of specific product names is illustrative only. It is not intended to be a recommendation of one product over another, and is not intended to represent a complete listing of all products available.

09-L0000-03

Original Effective Date: 07/15/99

Reviewed: 09/23/10

Revised: 07/15/14

Subject: Orthotics

Clinical View

 

This medical coverage guideline is not an authorization, certification, explanation of benefits, or a guarantee of payment, nor does it substitute for or constitute medical advice. All medical decisions are solely the responsibility of the patient and physician. Benefits are determined by the group contract, member benefit booklet, and/or individual subscriber certificate in effect at the time services were rendered. This medical coverage guideline applies to all lines of business unless otherwise noted in the program exceptions section.

 

DESCRIPTION:

For the purposes of this guideline, an orthotic is a rigid or semi-rigid device used to support, restore, or protect body function. Orthotics may also redirect or restrict motion of an impaired body part.

POSITION STATEMENT:

 

Certificate of Medical Necessity

Submit a completed Certificate of Medical Necessity (CMN) along with your request for Orthotics to expedite the medical review process.

1. Click the link Orthotics - Certificate of Medical Necessity (MS Word) to open the form.

2. Complete all fields on the form thoroughly.

3. Print and submit a copy of the form with your request.

Note: Florida Blue regularly updates CMNs. Ensure you are using the most current copy of a CMN before submitting to Florida Blue. For a complete list of available CMNs, visit the Certificates of Medical Necessity page.

Orthotic devices are covered services, according to the member’s individual contract benefit:

The following orthotic devices and orthotic-related services meet the definition of medical necessity:

  1. the contract has a benefit for orthotics and does not exclude foot orthotics
  2. they were prescribed by a physician to treat a medical problem or deformity such as but not limited to the following (ICD-9 diagnoses codes):
  1. the patient has diabetes (ICD-9 250250.9); AND
  2. the patient is under a comprehensive plan of care for the diabetic condition; AND
  3. the patient has one OR more of the following conditions in one or both feet:

The following items do not meet the definition of an orthotic device or are excluded per contract language:

BILLING/CODING INFORMATION:

HCPCS Coding:

A5500A5510

Diabetic shoes, fitting, and modifications

A5512

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees Fahrenheit or higher, total contact with patient’s foot, including arch, base layer minimum of ¼ inch material of shore a 35 durometer or 3/16 inch material of shore a 40 (or higher), prefabricated, each

A5513

For diabetics only, multiple density insert, custom molded from model of patient’s foot, total contact with patient’s foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher, includes arch filler and other shaping material, custom fabricated, each

K0672

Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each

L0112 L4398

Orthotic devices, procedures

NOTE: Some orthotics may be addressed in separate policies.

Repairs of orthotic devices are to be coded by adding modifier –RP to the applicable procedure code for the device.

REIMBURSEMENT INFORMATION:

Reimbursement for an orthotic device is based on established allowance or actual cost if invoice is submitted, whichever is less.

Reimbursement for custom molded and designed shoe inserts or supportive devices for the feet (L3000 – L3090) is limited to one (1) pair of any type orthotic for orthopedic shoes a 12-month period. Items in excess of these limitations are subject to medical review of documentation supporting medical necessity. The following information may be required documentation to support medical necessity: medical records, attending physician initial assessment, physician visit notes, physician history and physical.

LOINC Codes:

DOCUMENTATION TABLE

LOINC CODES

LOINC TIME FRAME MODIFIER CODE

LOINC TIME FRAME MODIFIER CODES NARRATIVE

Physician Initial Assessment

18736-9

18805-2

Include all data of the selected type that represents observations made six months or fewer before starting date of service for the claim

Attending physician visit note

18733-6

18805-2

Include all data of the selected type that represents observations made six months or fewer before starting date of service for the claim.

Physician history and physical

28626-0

18805-2

Include all data of the selected type that represents observations made six months or fewer before starting date of service for the claim.

Reimbursement for therapeutic shoes and inserts OR modifications for diabetics (A5500 – A5507, A5512 – A5513) is limited to the following:

A “modification” of a custom molded shoe or depth shoe (e.g., A5503, A5504, A5505, A5506, and A5507) may be covered as a substitute for an insert.

Deluxe features of diabetic shoes (A5508) are not eligible for reimbursement as deluxe items are generally contract exclusions.

Direct formed compression molded to the patient’s foot without external heat source, multiple-density insert(s) (A5510) for diabetic shoes is not eligible for reimbursement since these types of inserts are not considered total contact at the time of dispensing. These inserts reflect compression molding to the patient’s foot over time through the heat and pressure generated by wearing a shoe with the insert in place.

Reimbursement is limited to inserts for therapeutic shoes; inserts alone (i.e., inserts used with standard shoes) are not eligible for reimbursement.

Reimbursement for travel time and for professional services for preparation and fitting is included in the basic allowance for the orthotic device.

Reimbursement for the repair is not to exceed the allowance for the cost of a new device.

PROGRAM EXCEPTIONS:

Federal Employee Program (FEP): Follow FEP guidelines.

State Account Organization (SAO): Follow SAO guidelines.

Medicare Advantage products:

The following Durable Medical Equipment Regional Carrier (DMERC) Local Coverage Determinations (LCDs) were reviewed on the last guideline revised date: Ankle-Foot/Knee-Ankle-Foot Orthosis (L11517), Orthopedic Footwear (L11445), Spinal Orthoses: TLSO and LSO (L11448), and Therapeutic Shoes for Persons with Diabetes (L11525) located at cgsmedicare.com.

DEFINITIONS:

Direct formed (molded): the insert has been conformed by molding directly to match the plantar surface of the individual patient’s foot.

Orthopedic shoes correct functional or bio-mechanical abnormalities such as "flat feet" or other skeletal problems. Therapeutic shoes, inserts or modifications serve a different purpose and are not considered orthopedic shoes.

Splint: a rigid or flexible appliance used to maintain in position a displaced or movable part or to keep in place and protect an injured part.

Therapeutic shoes, inserts or modifications for diabetics are designed to provide protection for insensate feet and promote altered support for feet that are changing in shape and for which normal shoes provide inadequate support.

Total contact: the insert makes and retains actual and continuous physical contact with the weight-bearing portions of the foot, including the arch throughout the standing and walking phases of gait.

Trusse: an elastic, canvas, or metallic device for retaining a hernia reduced within the cavity.

RELATED GUIDELINES:

OTHER:

Florida Statute 641.31 (26) (a, b, c):

(26)(a) Each health maintenance organization and prepaid health plan shall provide coverage for all medically appropriate and necessary equipment, supplies, and services used to treat diabetes, including outpatient self-management training and educational services, if the patient's primary care physician, or the physician to whom the patient has been referred who specializes in treating diabetes, certifies that the equipment, supplies, or services are necessary.

(b) The contract may require that diabetes outpatient self-management training and educational services be provided under the direct supervision of a certified diabetes educator or a board-certified endocrinologist under contract with or designated by the health maintenance organization or prepaid health plan.

(c) The Agency for Health Care Administration shall adopt standards for outpatient self-management training and educational services, taking into consideration standards approved by the American Diabetes Association.

REFERENCES:

  1. Blue Cross Blue Shield Association Medical Policy 1.03.01 – Orthotics, (04/29/03).
  2. Centers for Medicare and Medicaid Services (CMS) Level II Coding (HCPCS) (current edition).
  3. Centers for Medicare and Medicaid Services (CMS) Region C DMERC Local Carrier Determination (LCD) for Ankle-Foot/Knee-Ankle-Foot Orthosis (L11517); revised 06/01/09.
  4. Centers for Medicare and Medicaid Services (CMS) Region C DMERC Local Carrier Determination (LCD) for Orthopedic Footwear (L11445), revised 01/01/08.
  5. Centers for Medicare and Medicaid Services (CMS) Region C DMERC Local Carrier Determination (LCD) for Spinal Orthoses: TLSO and LSO (L11448), revised 04/01/09.
  6. Centers for Medicare and Medicaid Services (CMS) Region C DMERC Local Carrier Determination (LCD) for Therapeutic Shoes for Persons with Diabetes (L11525), revised 03/01/08.
  7. Medicare Carriers Manual (MCM 2134; 2323; 2323.D).
  8. Medicare Claims Processing Manual, Chapter 20, Section 10.1.3 Prosthetics and Orthotics (Rev. 1, 10-01-03).
  9. Medicare Coverage Issues Manual (70-1; 70-2; 70-3).

COMMITTEE APPROVAL:

This Medical Coverage Guideline (MCG) was approved by the BCBSF Medical Policy & Coverage Committee on 09/23/10.

GUIDELINE UPDATE INFORMATION:

07/15/99

Medical Coverage Guideline reformatted.

01/01/01

Coding changes.

09/15/01

Reviewed.

01/01/02

Coding changes.

07/01/03

HCPCS coding changes.

09/15/03

Reviewed; no changes.

04/01/04

2nd Quarter 2004 HCPCS coding update.

05/15/04

Revision to reimbursement limitation.

06/15/04

Revision to limitations for shoes, shoe inserts, and modifications.

04/01/05

2nd Quarter HCPCS coding update; added S8434.

05/15/05

Revision to add clarification regarding covered and non-covered items.

09/15/05

Scheduled review; no changes in coverage statement.

01/01/06

Annual HCPCS coding update (delete A5511, K0628, and K0629; add A5512 and A5513).

04/01/06

2nd Quarter HCPCS coding update; revised A5513 descriptor.

01/01/07

Annual HCPCS coding update (deleted L0100, L0110, L3902, and L3914).

06/15/07

Revisions consisting of reformatting guideline; the addition of the Florida State mandate language regarding diabetic supplies; removal of HOI Program Exception information.

08/15/07

Scheduled review; reformatted guideline; updated references.

02/15/08

Revision consisting of changes to reimbursement of therapeutic shoes, inserts, modifications.

04/01/08

2nd Quarter HCPCS coding update (added K0672).

09/15/09

Scheduled review; no change in position statement; updated references.

05/15/10

Revision consisting of removal of code range E1800 – E1840.

10/15/10

Revisions consisting of adding reimbursement information regarding A5508 and A5510; formatting changes.

07/15/11

Revision; formatting changes.

05/11/14

Revision: Program Exceptions section updated.

07/01/14

Revision: Reimbursement section updated to reflect individual diabetic shoe inserts rather than pairs of inserts.

07/15/14

Revision of Reimbursement section regarding diabetic shoes and inserts.

Private Property of Blue Cross and Blue Shield of Florida.
This medical policy (medical coverage guideline) is copyright 2013, Blue Cross and Blue Shield of Florida (BCBSF). All Rights Reserved. You may not copy or use this document or disclose its contents without the express written permission of BCBSF. The medical codes referenced in this document may be proprietary and owned by others. BCBSF makes no claim of ownership of such codes. Our use of such codes in this document is for explanation and guidance and should not be construed as a license for their use by you. Before utilizing the codes, please be sure that to the extent required, you have secured any appropriate licenses for such use. Current Procedural Terminology (CPT) is copyright 2013 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association.The use of specific product names is illustrative only. It is not intended to be a recommendation of one product over another, and is not intended to represent a complete listing of all products available.

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Date Printed: October 22, 2014: 06:19 PM