
toll free 877 888-9868
office 909 337-3449
fax 909 498-0300
All orders must be paid by the patient, and then the patient must submit a claim to his/her insurance provider for reimbursement.
Below are insurance codes that will be included with your paid invoice, so that you may file an insurance claim for reimbursement after you receive your order. You may wish to contact your insurance provider before ordering to see if the items are covered under your policy.
Delivery and handling fees, and casting/fitting charges most likely will not be reimbursed by insurance. There are also some optional items (i.e., padded dorsal plate, additional finger lift, etc.) that may not be covered.
For custom orders we will send you an estimate once we receive all of your paperwork. The estimate will have the insurance codes on it, as well as itemized charges.
CUSTOM ORTHOTICS
|
Item |
Medicare Codes |
|
Hand Paddle |
L3913 |
|
Shoulder Support |
L3675 |
|
Dome Positioning Splint |
L3906 |
|
Perfect Response Orthotic® (PRO) |
L1970 |
| L2280 | |
| L2755 | |
| L2820 | |
| L2275 | |
| L2220x2 | |
|
Wrist-Hand-Orthosis (WHO) |
|
|
L3906 |
|
|
L2820 |
|
L2430 |
|
|
Elbow-Wrist-Hand- Orthosis (EWHO) |
|
|
L3906 |
|
L2820 |
|
|
L3730 |
|
L2430x2 |
PREFABRICATED ORTHOTICS AND THERAPY AIDS
|
Item |
Medicare Codes |
|
Prefabricated Hand Paddle |
L3923 |
|
Prefabricated Shoulder Support |
L3675 |
|
Prefabricated Humeral External Rotator |
L3962 |
|
Prefabricated Knee Immobilizer |
L1836 |
|
Prefabricated Knee
Anti-hyperextension Unit
|
L1850 |
|
Prefabricated Hip
Alignment Assist Unit for Function in Upright Postures |
L1686 |
|
Prefabricated Dome Positioning Splint |
L3931 |
Prefabricated Articulating Dome Positioning Splint |
L3931 L2430 |
|
Prefabricated Thoracic Extension Unit |
L0472 |
|
Prefabricated Wrist-Hand-Orthosis (WHO) |
L3931 |
| L2430 | |
|
Prefabricated Elbow-Wrist-Hand-Orthosis (EWHO) |
L3760 |
L3931 |
|
| L2430x2 |