What does CPT code 97760 mean?

o CPT code 97760 (Orthotic(s) management and training (including assessment. and fitting when not otherwise reported), upper extremity(ies), lower. extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes)

What modifier is needed for 97760?

So along with the E&M code with modifier 25, 97760 (without modifier) was added and submitted. However, Medicare denied 97760 due to inconsistent modifier. So a corrected claim with modifier 59 and KX were appended to 97760.

Does Medicare pay for CPT code 97760?

As mentioned above, providers should not bill 97760 or 97761 with any L-codes on private payer or workers’ comp claims, as those codes cover the assessment. Before you can bill L-codes to Medicare, you must be a certified DME provider.

Will insurance cover custom orthotics?

Does Insurance Cover Custom Orthotics? If your health insurance covers the cost of custom orthotics, you’ll usually only have to pay 10-50% of the total price. However, more often than not, insurance doesn’t cover them. There is no evidence that custom orthoses are more effective than prefabricated ones.”

Who can bill CPT code 97760?

CPT 97760 and CPT 97761 are intended only to be reported for the initial encounter with the patient and can be billed if an orthotic is fabricated.

What do orthotics do for your feet?

Orthotics are different. They are prescription medical devices that you wear inside your shoes to correct biomechanical foot issues such as problems with how you walk, stand, or run. They can also help with foot pain caused by medical conditions such as diabetes, plantar fasciitis, bursitis, and arthritis.

Why do my orthotics hurt my arch?

1. Your orthotics were not properly fitted or designed, or are worn out. Improper design or fit is one of the top reasons for foot pain from orthotics. If you have an improperly fitting foot orthosis, it is often because you have chosen an off-the-shelf solution that does not fit your specific foot shape correctly.

What are the best orthotics insoles for high arch support?

Our Top Picks of Orthotics Insoles for High Arche support: 1 Pcssole’s 3/4 (Orthotics High Arch Support) “These insoles are rigid and very lightweight. 2 Walk Hero (Plantar Fasciitis Feet Insoles) “These are great for the price or any price for that matter.” -Customer Review. 3 Dr.

Why do people with high arches have difficulty finding orthotics?

People with high arches have difficulty finding orthotics that work for them because most over-the-counter orthotics are not designed to support the shape of a high arched foot. They are designed to support the shape of a low arched foot. So they won’t be comfortable or they will cause compensations and pain elsewhere.

What problems do high arch feet cause?

A high arch foot type can lead to the following problems: Plantar Fasciitis (pain along the bottom of the foot near the base of the heel) Metatarsalgia (pain in the ball of the foot) Hammer Toes and Claw Toes (deformities of the toes)

Why are the insoles raised 2x to normal arch?

The insole’s middle is raised 2x to normal arch, so it prSesses right up to the arch. Because of a heel spur, the extra high arch takes away the load from the heels. It is a better option than softer insoles.