123ArticleOnline Logo
Welcome to 123ArticleOnline.com!
ALL >> Health >> View Article

Code Verification Review Requirement For Articulating Digit(s) And Prosthetic Hands

Profile Picture
By Author: Danny Johnsmith
Total Articles: 411
Comment this article
Facebook ShareTwitter ShareGoogle+ ShareTwitter Share

On November 11, 2021, the DME MACs published an announcement on the coding guidance regarding the terminal devices upper extremity. The new announcement edited the previous guidance on the use of L6881 that was provided in November 2019. It was the auto grasp feature.
The addition done to the L6881 automatic grasp feature made an addition to the electronic upper limb prosthetic terminal device. It unbundled the revision, including L6882 and the controlling microprocessor feature.
What does This Mean?
The joint DME MAC publication and PDAC Article mean the claims will be effective for services dated on and after January 1, 2022. The new code verification review also means the products that can be billed under the HCPCS (Healthcare Common Procedure Coding System) Codes are:
• L6715 – terminal device
- Multiple articulation digits
- Includes motor(s)
- Initial issue or replacement
• L6880 – electric hand,
- switch or myoelectric controlled,
- Independently articulating digits
- Any grasp pattern
- Combination of grasp patterns

These ...
... two and the variations under it have received the reviewed code verification, which is mandatory while undertaking medical billing and coding. The further details are listed in the PDAC (Pricing, Data Analysis, and Coding) of the PCL (Product Classification List) contractor website.
It was also mandatory for the manufacturers who have these products and are under these categories to submit the products to verify the coding by August 31, 2021.
Manufacturers were asked to visit the PDCA website to get the coding verification review application. The process was easy to assist the suppliers and manufacturers with the correct coding. The revised announcement made it mandatory code verification by the PDCA contractor for the DME MACs (Durable Medical Equipment Medicare Administrative Contractors) for the upper extremity devices to qualify for the HCPCS codes.
Furthermore, it was established that the only authority to have the ability to verify the HCPCS Level II Coding Guidelines was CMS and the DME MACs. This factor was specified in Chapter 3, Section 3, 3.B, and 3, 6, 2.4 for the Medicare claims in the Centres for Medicare and Medicaid (CMS) Program Integrity Manual, published 100-08. In the manual, it has been stated that the CMS has the authority to manage and assign the HCPCS codes by creating, changing the code narrative, and deleting it under 42 CFR § 414.40 and 45 CFR § 162.1002.
Any facility needing additional information on the billing and coding of HCPCS codes related to L6715 and L6880 can look up the publication Correct Coding – Articulating Digit(s) and Prosthetic Hands – Revised. The edition was published in October 2019 and is a joint DME MAC publication. It is available on both PDAC and DME MAC websites.
Want To Ensure You Use These Correctly For Your Medical Billing And Coding?
All these can be pretty complicated while working on ensuring the best equipment and DME services to the patients. While you take care of these, let 24/7 Medical Billing Services take care of your DME billing and coding, so your RCM is impeccable. It will warrant seamless revenue flow so you can focus on your services effectively.
About 24/7 Medical Billing Services:
We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses.

Contact:
24/7 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com

More About the Author

I am Danny Johnsmith & I work as a Healthcare Consultant with 24/7 Medical Billing Services. I have been working in the US Healthcare Industry for more than 4 years now & I excel in offering Revenue Cycle Management Services. Ideally, Physicians should be focusing more on Patient Care & spending very little time in the administrative tasks. But in reality, a lot of Physicians & Healthcare Providers are actually burdened with both – Patient Care & the Office Management to. And that’s where My services would be of real help for you… From Credentialing to Appointment Scheduling, From Medical Billing to ICD 10 Coding & From A/R Follow-ups to Denial Management, I can help streamline your entire practice performance. Be it DME Billing or Chiropractic or Mental Health, I have helped a few Providers boost their practice revenue by at least 50%.

Total Views: 226Word Count: 580See All articles From Author

Add Comment

Health Articles

1. Lose Weight In One Month: Achieve Your Fitness Goals With The Right Exercise And Diet Plan
Author: taherraita

2. Detached Retina Treatment In London: Symptoms, Causes, And Advanced Surgical Solutions
Author: Mahi Muqit

3. How Root Canal Therapy Saves Teeth And Prevents Pain?
Author: Mayur

4. Understanding Modifiers 26 And Tc In Healthcare Billing: A Quick Guide
Author: Albert brown

5. Parkinson’s Disease Drug Pipeline Analysis 2024 – Trends, Key Market Dynamics, And Emerging Therapies
Author: DHRUV

6. A Comprehensive Guide To Finding The Best Fat Removal Surgery In Hyderabad
Author: Ojas Aesthetics

7. Dental Fillers In Coimbatore
Author: We Dental

8. Dental Implant Clinic In Noida – Nayar Dental
Author: Nayar Dental

9. Registered Ndis Provider Melbourne – Caring Hearts Home Care
Author: CARING HEARTS HOME CARE

10. Trusted Migraine Treatment Doctor In Bhubaneswar: Relief & Care
Author: Dr PR bhuyan

11. Analytical Science: Revolutionizing Research And Industrial Applications
Author: Gaia Science Pte Ltd

12. Dental Implants In Coimbatore | We Dental
Author: Shaad Aesthetics

13. Comprehensive Eye Care In Tucson: Essential Services For Lasting Vision Health
Author: Catalina Eye Care

14. When Should Food Sensitivity Testing Be Used?
Author: naturalweightlossflorida

15. Porcelain Veneers: The Secret To A Hollywood Smile In Dallas And Lewisville
Author: Alex Perry

Login To Account
Login Email:
Password:
Forgot Password?
New User?
Sign Up Newsletter
Email Address: