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PT Proc Code for "core shorts"

Jim Posted Fri 16th of July, 2010 01:44:14 AM

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?

SuperCoder Answered Fri 16th of July, 2010 08:15:57 AM

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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