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Linda Collins Blogger

Say Good Bye to the K Codes for Knee Braces

Posted by Linda Collins | November 22, 2016

​Effective January 1, 2017, the K codes, K0901 and K0902, used for the off the shelf version of knee braces are no longer valid. The 2017 allowable fee schedule for these codes has not yet been released.

The new HCPCS codes are listed below:

HCPCS Code: L1851 (formerly K0901)

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

HCPCS Code: L1843

Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

HCPCS Code: L1852 (formerly K0902)

Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

HCPCS Code: L1845

Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

What does this mean for you?

Claims with dates of service January 1, 2017, and after will need to reflect the new codes. A claim submitted with K0901 or K0902 may be denied. Be sure to update your internal forms and billing systems. Notify your electronic claims network of the update. Stay tuned to Össur R&R for updates on the 2017 Medicare Allowable Fee Schedule as it becomes available. 

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