09/14/2018

Properly Billing Medicare for Night Splint for Fasciitis/Heel Spur Syndrome

How do I properly bill Medicare for a night splint for fasciitis/ heel spur syndrome ( M72.2 & M77.32/M77.32)? I've used codes L4397 & L4398 with an extremity modifier and both were denied. Thank you.

The KX modifier must be appended to the HCPCS code provided by the product supplier.

Please refer to the LCD policy below:

L33686-Ankle-Foot/Knee-Ankle-Foot Orthosis