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December 2014 O&P Almanac

Page 19

REIMBURSEMENT PAGE

been established and is eligible for claims with a date of service on or after Jan. 1, 2015. This code replaces L6025, which will be deleted from the HCPCS list as of Dec. 31, 2014. The reason for the creation of L6026 and deletion of L6025 is to allow prosthetic providers the opportunity to better describe partial hand prostheses that utilize myoelectric control. L6025 included a terminal device in its descriptor and did not allow for the proper addition of different styles of terminal devices that are appropriate for the specific clinical needs of the patient. The creation of L6026, which specifically excludes a terminal device, allows the prosthetic provider to independently report the features of the partial hand base code and the unique features of the specific terminal device that best suits the clinical needs of the patient. AOPA supported this decision during the HCPCS public meeting in May and believes that it will be beneficial to both the Medicare program as well as the provider community.

L3981 has been established, effective for dates of service on or after Jan. 1, 2015, to describe a prefabricated upper-extremity fracture orthosis that incorporates a shoulder cap into its design. The creation of this code fills a gap in the existing coding system that had previously established L codes

1, 2015. L7259 replaces L7260 and L7261, which will be deleted from the HCPCS list as of Dec. 31, 2014. The change represented by the creation of L7259 and subsequent deletion of L7260 and L7261 is consistent with CMS’s philosophy to move away from specific brand references within the

The reason for the creation of L6026 and deletion of L6025 is to allow prosthetic providers the opportunity to better describe partial hand prostheses that utilize myoelectric control. for prefabricated fracture orthoses at the wrist, forearm, and upper-arm levels, but not to the level of the shoulder. Once again, AOPA supports the addition of this code as it creates a more complete coding system. The final new code for 2015 is L7259, which is effective for claims with a date of service on or after Jan.

Ferrier Coupler Options!

coding system and does not represent a significant change to the proper description of electronic wrist rotators. The only L code that had a descriptor change for 2015 is L7367, which is used to describe the replacement of a lithium ion battery in a powered prosthesis. For 2015, the term “rechargeable” has been added to the descriptor for L7367.

Interchange or Disconnect

The Ferrier Coupler provides you with options never before possible:

Enables a complete disconnect immediately below the socket in seconds without the removal of garments. Can be used where only the upper (above the Coupler) or lower (below the Coupler) portion of limb needs to be changed. Also allows for temporary limb replacement. All aluminum couplers are hard coated for enhanced durability. All models are interchangeable.

Model A5

Model F5

Model P5

The A5 Standard Coupler is for use in all lower limb prostheses. The male and female portions of the coupler bolt to any standard 4-bolt pattern component.

The F5 Coupler with female pyramid receiver is for use in all lower limb prostheses. Male portion of the coupler features a built-in female pyramid receiver. Female portion bolts to any standard 4-bolt pattern component. The Ferrier Coupler with an inverted pyramid built in. The male portion of the pyramid is built into the male portion of the coupler. Female portion bolts to any 4-bolt pattern component.

Model FA5

Model FF5

Model FP5

NEW! The FA5 coupler with 4-bolt and female pyramid is for use in all lower limb prostheses. Male portion of coupler is standard 4-bolt pattern. Female portion of coupler accepts a pyramid.

Model T5

NEW! The FF5 has a female pyramid receiver on both male and female portions of the coupler for easy connection to male pyramids.

NEW! The FP5 Coupler is for use in all lower limb prostheses. Male portion of coupler has a pyramid. The Female portion of coupler accepts a pyramid.

The Trowbridge Terra-Round foot mounts directly inside a standard 30mm pylon. The center stem exes in any direction allowing the unit to conform to uneven terrain. It is also useful in the lab when tting the prototype limb. The unit is waterproof and has a traction base pad.

O&P ALMANAC | DECEMBER 2014

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