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Linda Collins Blogger

Are you bracing yourself?

Posted by Linda Collins | August 28, 2013

​All four DME MACs have announced a revision of the LCD for knee bracing. The new version includes coverage criteria for ruptured tendons. 

Specifically, ICD 9 code 727.66, ruptured tendon, non-traumatic, site-patellar tendon, is now included in the diagnoses for KAFOS billed using HCPCS L1830, L1832, L1834, L1843, L1844, L1845, and L1846.

Information about knee brace HCPCS codes and diagnosis codes is available under the Reimbursement Resources.

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