Does the physical therapy procedure code L0621 for Pelvic Support work to get reimbursement from a private insurer (BC/BS) for "core shorts"? Core shorts act as a brace but are flexible enough to be used for exercising. Patient has a poorly repaired inguinal hernia and poor posture which causes so much hip pain when exercising, he must stop. But he must exercise to lose weight. Core shorts, with a PT regimen, alleviate the pain and permit hours of exercise. Has anyone received reimbursement for core shorts under this procedure code, or is there another that works?
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- Posted by Jim Morrow 1 year ago. There are 2 posts. The latest reply is from .
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Got some documentation checklist from Noridianmedicare and CMS hope this helps
https://www.noridianmedicare.com/dme/coverage/checklists.html
https://www.noridianmedicare.com/dme/coverage/docs/checklists/spinal_orthoses.pdf
http://www.cms.gov/mcd/results.asp?show=all&t=2010716333
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