hcpcs code for boxer's fracture brace
Some articles contain a large number of codes. Make sure 4th and 5th metacarpals rest comfortably in angled portion of splint. Indicated for treatment of acute or sub-acute fractures of the 4th and 5th metacarpals commonly referred to as boxer fractures.. Slide middle strap through buckle, center pad across web space and secure strap snugly. Wipe plastic shell with damp cloth. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be Boxer Fracture Brace Med Spec Aluminum / Felt Left Hand Black Large HAND SPLINT, BOXER LT LG Compare Features Comfortably positions and protects the 4th and 5th metacarpals in the treatment of some fractures Adustable aluminum stays allow the fingers and MP joints to be positioned at the optimum angle For products with a removable liner, you may hand wash the liner in warm water with mild soap and air dry. Make sure 4th and 5th metacarpals rest comfortably in angled portion of splint. Indicated for treatment of acute or sub-acute fractures of the 4th and 5th metacarpals commonly referred to as "boxer fractures." Constructed of lightweight lowdensity polyethylene shell with soft foam liner and palmer pad and closure straps. 4 to 5 Inch Wrist Circumference / 2-3/4 to 3-1/4 Inch MCP Width, 5 to 6 Inch Wrist Circumference / 3-1/4 to 3-3/4 Inch MCP Width, 6 to 7 Inch Wrist Circumference / 3-3/4 to 4-1/4 Inch MCP Width, 7 to 8 Inch Wrist / 4-1/4 to 4-3/4 Inch MCP Circumference, Boxer Fracture Splint Corflex Extended Length Palmar Pad Polyethylene / Foam Right Hand White Large, Boxer Fracture Splint Corflex Palmar Pad Polyethylene / Foam Left Hand White Large, Boxer Fracture Splint Corflex Extended Length Palmar Pad Polyethylene / Foam Right Hand White Medium, Boxer Fracture Splint Corflex Palmar Pad Polyethylene / Foam Right Hand White Medium, Consumers: Please visit SimplyMedical.com. Braces; trusses; and artifical legs, arms, and eyes are covered when furnished incident to a physicians services or on a physicians order. UNSPSC Code: 42241807: Usage: Single . Boxer's Fracture Brace. Boxer Fracture Brace ProCare ComfortFORM Nylon / Aluminum / Foam / Elastic Right Hand Black Medium, Boxer Fracture Brace Exos Thermoformable Polymer Left Hand Black Medium, Boxer Fracture Brace Exos Thermoformable Polymer Right Hand Black Large, Boxer Fracture Brace Exos Thermoformable Polymer Left Hand Black Small, Consumers: Please visit SimplyMedical.com, Boa Lacing System / Hook and Loop Closure, Used to stabilize fractures to the 4th and/or 5th metacarpal, MC, bones and also provides stabilization to the 4th and 5th interphalangeal and wrist joints, May also be used for metacarpal, MC, head/neck fracture of the 4th and/or 5th metacarpal, The ability to thermoform and custom fit the brace to the patient's extremity ensures a comfortable fit, Dorsal hook and loop secure tab allows the practioner to secure the over-lapping, top, portion of the brace to better manage brace stability, Finger section can be trimmed, as directed by the doctor, to accommodate desired range of motion, The micro-adjustable BOA Fit System allows for a fast, effortless, precision fit through a customizable and seamless level of support, For sizing, wrap the measuring tape around the palm of the hand, Ideal for Boxer's Fractures, flexor tendon and/or digital nerve damage , Helps eliminate the need for ulnar gutter casting or splinting, Malleable ulnar stay creates a dorsal block that maintains the 4th and , Used to stabilize fractures to the 4th and/or 5th metacarpal, MC, bone , May also be used for metacarpal, MC, head/neck fracture of the 4th and , The ability to thermoform and custom fit the brace to the patient's ex . CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Under CPT/HCPCS Modifiers, the description was changed for the following modifier: This revision is due to the Q1 2021 CPT/HCPCS Code Update and is effective for dates of service on or after 01/01/2021. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Draft articles have document IDs that begin with "DA" (e.g., DA12345). Complete absence of all Revenue Codes indicates Indicated for treatment of acute or sub-acute fractures of the 4th and 5th metacarpals commonly referred to as boxer fractures.. Used to stabilize fractures to the 4th and/or 5th metacarpal, MC, bones and also provides stabilization to the 4th and 5th interphalangeal and wrist joints . This revision is due to the Q1 2021 CPT/HCPCS Code Update and is effective for dates of service on or after 01/01/2021. Anatomically designed to provide comfortable support, protection and immobilization of the 4th and 5th metacarpals; average length 6 5/8. If you would like to extend your session, you may select the Continue Button. damages arising out of the use of such information, product, or process. Enter the code you're looking for in the "Enter keyword, code, or document ID" box. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, SURGICAL CARE ONLY: WHEN ONE PHYSICIAN PERFORMS A SURGICAL PROCEDURE AND ANOTHER PROVIDES PREOPERATIVE AND/OR POSTOPERATIVE MANAGEMENT, SURGICAL SERVICES MAY BE IDENTIFIED BY ADDING THE MODIFIER -54 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09954. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. PDAC Letter. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Constructed of lightweight lowdensity polyethylene shell with soft foam liner and palmer pad and closure straps. You may enter multiple email addresses separated by semicolons. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not Wipe plastic shell with a damp cloth. XX IN MODEL NUMBER INDICATES SIZE: SM, MD, LG, XL, RIGHT SIDE. You may use disinfectant or mild soap and wipe dry. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. This list reflects the latest product information on file, SIDE: L-LEFT OR R-RIGHT, LEFT SIDE. Anatomically designed to provide comfortable support, protection and i . HCPCS Code Range Q4001-Q4051 Q4001-Q4051 Cast and Splint Supplies Q4001 Casting supplies, body cast adult, with or without head, plaster Q4002 Cast supplies, body cast adult, with or without head, fiberglass Q4003 Cast supplies, shoulder cast, adult (11 years +), plaster Q4004 Cast supplies, shoulder cast, adult (11 years +), fiberglass Q4005 IMS Experts Order Medical Products Online TKO (The Knuckle Orthosis) HCPCS Code: L3807 Provides positioning for fractures or injuries to metacarpals, phalanges, MCP and IP joints Four applications in one brace Straps are adjustable for fit and comfort (pain & swelling) Distal buddy strapping eliminates rotation of the finger An asterisk (*) indicates a Draft articles are articles written in support of a Proposed LCD. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. There are multiple ways to create a PDF of a document that you are currently viewing. The Medicare program provides limited benefits for outpatient prescription drugs. Please contact the Medicare Administrative Contractor (MAC) who owns the document. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Product Images Compare . Used to stabilize fractures to the 4th and/or 5th metacarpal (MC) bones, and also provides stabilization to the 4th and 5th interphalangeal and wrist joints. THE UNITED STATES that coverage is not influenced by Bill Type and the article should be assumed to Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. View examples of acceptable ways to bill for definitive or restorative treatment of a fracture. Boxer Fracture Splint Corflex Extended Length Palmar Pad Polyethylene / Foam Right Hand White Medium. Unless specified in the article, services reported under other Thanks for any help!! Federal government websites often end in .gov or .mil. Unique padded stay allows for easy adjustment and custom fitting. Anatomically designed to provide comfortable support, protection and immobilization of the 4th and 5th metacarpals; extended length provides added wrist support; average length 9 5/8. Revenue Codes are equally subject to this coverage determination. If that doesnt work please contact, Technical issues include things such as a link is broken, a report fails to run, a page is not displaying correctly, a search is taking an unexpectedly long time to complete. . DISCLOSED HEREIN. FREEDOM comfort Boxer's Fracture Orthoses with MP Extension. Secure distal strap around 4th and 5th metacarpals then secure proximal strap around wrist. HCPCS: L3984. The scope of this license is determined by the AMA, the copyright holder. You will find them in the Billing & Coding Articles. The list of results will include documents which contain the code you entered. DECISION FOR SURGERY: AN EVALUATION AND MANAGEMENT SERVICE THAT RESULTED IN THE INITIAL DECISION TO PERFORM THE SURGERY, MAY BE IDENTIFIED BY ADDING THE MODIFIER -57 TO THE APPROPRIATE LEVEL OF E/M SERVICE, OR THE SEPARATE FIVE DIGIT MODIFIER 09957 MAY BE USED. EXTENDED LENGTH BOXER SPLINT. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT, PROLITE AIRFLOW 8" WRIST BRACE WITH ABDUCTED THUMB, MANUFACTURER DISCONTINUED PRODUCTION AS OF 01/01/2016. If you dont find the Article you are looking for, contact your MAC. Prefabricated Custom Fitted Orthotics Without an Off-The-Shelf Equivalent MONDAY - FRIDAY 8AM TO 5PM, COPYRIGHT CORFLEX GLOBAL 2023. So casting/splint is included with that. This Article effective 10/1/2015, combines JEA A53321 in the JEB A53322 so that both JEA and JEB contract numbers will have the same final Medicare Coverage Database (MCD) Article number. Exos Long Thumb Spica. Indicated for treatment of acute or sub-acute fractures of the 4th and 5th metacarpals commonly referred to as boxer fractures%XE2%X80? that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or The metacarpal neck is the part of the . You may enter multiple email addresses separated by semicolons. If you need more information on coverage, contact the Medicare Administrative Contractor (MAC) who published the document. The contractor information can be found at the top of the document in the Contractor Information section (expand the section to see the details). In no event shall CMS be liable for direct, indirect, special, incidental, or consequential Look for a Billing and Coding Article in the results and open it. In most instances Revenue Codes are purely advisory. Try entering any of this type of information provided in your denial letter. Fracture care has a 90 day global. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, preparation of this material, or the analysis of information provided in the material. Current Dental Terminology © 2022 American Dental Association. as an approval or endorsement of the product(s) by the PDAC, DME MACs, or Medicare, nor does it All other Codes (ICD-10, Bill Type, and Revenue) have moved to Articles for DME MACs, as they have for the other Local Coverage MAC types. Exos Radial Gutter Fracture Brace. W/NEOPRENE THUMB, COMPOSITE WRIST BRACE WITH ABDUCTED THUMB, EASYFIT FUNCTIONAL RESTING HAND WHFO - RIGHT, LONG THUMB SPICA WITH BOA RIGHT SPIDER XX-SMALL, LONG THUMB SPICA WITH BOA LEFT CAMO MEDIUM, DICARRE WRIST BRACE WITH THUMB SPLINT BLACK LARGE LEFT, LONG THUMB SPICA WITH BOA LEFT PINK X-LARGE, LONG THUMB SPICA WITH BOA RIGHT DENIM MEDIUM, LONG THUMB SPICA WITH BOA RIGHT DENIM X-LARGE, UNITED SURGICAL / SOUTHERN PROSTHETIC SUPPLY INC (SPS), ORTHOEAZE FUNCTIONAL RESTING HAND WHFO - LEFT, TBEH-310 (RIGHT) 8" FOREARM WITH THUMB SPLINT, THERMOSKIN WRIST HAND BRACE WITH THUMB SPLINT, BEIGE, RIGHT, MEDIUM, MOBILITY READY WRIST WITH THUMB SPICA SMALL LEFT, MOBILITY READY WRIST WITH THUMB SPICA MEDIUM RIGHT, S.O.T. This email will be sent from you to the HCPCS Code: L3807. Sign up to get the latest information about your choice of CMS topics in your inbox. For a better experience, please enable JavaScript in your browser before proceeding. May be used for metacarpal (MC) head/neck fracture of the 4th and/or 5th metacarpal. A boxer's fracture specifically is a fracture of the fifth metacarpal neck. Braces; trusses; and artifical legs, arms, and eyes are covered when furnished incident to a physician's services or on a physician's order. End Users do not act for or on behalf of the CMS. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. MANCHESTER, NH 03109 Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. Stump stockings and harnesses (including replacements) are also covered when these appliances are essential to the effective use of an artificial limb. Hyperextension Arthritis Bennett's Fracture 4th and 5th Metacarpal Fractures 2nd and 3rd Metacarpal Fractures HCPCS Code: L3984, L3807, L3918, L3924, L3809 There is no change in coverage. Coding Disclaimer: The information provided may suggest HCPCS codes and descriptors for Breg products that are . The AMA does not directly or indirectly practice medicine or dispense medical services. For this supplementary claims processing information we rely on other CMS publications, namely Change Requests (CR) Transmittals and inclusions in the Medicare Fee-For-Service Claims Processing Manual (CPM). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager?800.422.0280. The AMA assumes no liability for data contained or not contained herein. The document is broken into multiple sections. If your session expires, you will lose all items in your basket and any active searches. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". IMS is a DME medical products and supplies sales, marketing, and billing company, Provides positioning for fractures or injuries to metacarpals, phalanges, MCP and IP joints, Straps are adjustable for fit and comfort (pain & swelling), Distal buddy strapping eliminates rotation of the finger, Padded stays are malleable and allow for customized fit, Reversible - one splint acts as a Boxer's Fracture splint (ulnar gutter), Radial Gutter splint, and Middle & Ring Finger splint. Slide middle strap through buckle, center pad across web space and secure strap snugly. Open all straps and rest hand inside splint. manufacturer resources. "JavaScript" disabled. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. The AMA does not directly or indirectly practice medicine or dispense medical services. Was your Medicare claim denied? Please visit the. authorized with an express license from the American Hospital Association. What are the treatment options? The Boxer's Fracture Brace is an Exos product used to stabilize fractures to the 4th and 5th metacarpal (MC) bones, and also provides stabilization to the 4th and 5th interphalangeal and wrist joints. I am billing a initial fracture care code for Boxers fracture and needing to know what code to bill for supplies. XX IN MODEL NUMBER INDICATES SIZE: SM, MD, LG, XL, AP UNIVERSAL WRIST BRACE WITH THUMB SPICA, TITAN THUMB; UNIVERSAL LACING WRIST & THUMB, EASYFIT FUNCTIONAL RESTING HAND WHFO - LEFT, LONG THUMB SPICA WITH BOA RIGHT BLACK MEDIUM, LONG THUMB SPICA WITH BOA RIGHT BLACK X-LARGE, LONG THUMB SPICA WITH BOA LEFT SPIDER X-SMALL, LONG THUMB SPICA WITH BOA LEFT CAMO X-LARGE, RADIAL GUTTER FRACTURE BRACE LEFT X-LARGE, LONG THUMB SPICA WITH BOA LEFT POLKA DOT X-SMALL, LONG THUMB SPICA WITH BOA LEFT POLKA DOT SMALL, LONG THUMB SPICA WITH BOA RIGHT POLKA DOT MEDIUM, DICARRE WRIST BRACE WITH THUMB SPLINT BLACK MEDIUM LEFT, DORSAL RESTING HAND ORTHOSIS (ALPHA-NUMERIC WORKGROUP REVIEW), LONG THUMB SPICA WITH BOA LEFT PINK MEDIUM, LONG THUMB SPICA WITH BOA LEFT DENIM X-SMALL, LONG THUMB SPICA WITH BOA LEFT DENIM SMALL, LONG THUMB SPICA WITH BOA RIGHT DENIM XX-SMALL, THERMOSKIN WRIST HAND BRACE WITH THUMB SPLINT, BEIGE, LEFT, MEDIUM, SWEDE-O THERMAL CARPAL TUNNEL BRACE WITH THUMB SPICA GRAY LEFT LARGE/XLARGE, MOBILITY READY WRIST WITH THUMB SPICA LARGE LEFT, BENDEASE UNFLO FLO-FORM UNIVERSAL HAND SPLINT, GREENWOOD MARKETING LLC (DBA RESTORATIVE MEDICAL). 669 EAST INDUSTRIAL PARK DRIVE For products with a removable liner, you may hand wash the liner in warm water with mild soap and air dry. used to report this service. The Pricing, Data Analysis, and Coding (PDAC) Contractor has reviewed the product(s) listed above and has approved the listed Healthcare Common Procedure Coding System (HCPCS) code(s) for billing the four Durable Medical Equipment Medicare Administrative Contractors (DME MACs). In Stock. I am billing a initial fracture care code for Boxers fracture and needing to know what code to bill for supplies. CDT is a trademark of the ADA. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. Adjustments to an artificial limb or other appliance required by wear or by a change in the patients condition are covered when ordered by a physician. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Product Brochure. An official website of the United States government. 669 EAST INDUSTRIAL PARK DRIVE No fee schedules, basic unit, relative values or related listings are included in CPT. ComfortFORM Boxer's Splint L3807 ComfortFORM Wrist L3908 ComfortFORM Wrist with abducted thumb L3807 CTS Wrist Support L3908 Elastic Wrist Brace L3908 EXOS Boxers Fracture Brace L3807 EXOS Long Thumb Spica Orthosis L3807 EXOS Short Thumb Spica Orthosis L3923 ProCare Thumb Splint L3923 . A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. apply equally to all claims. 2970002098. not using your hand for a period of time. Please do not use this feature to contact CMS. Complete absence of all Bill Types indicates Not made with natural rubber latex. JavaScript is disabled. L3917 - Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise. BOXER'S FRACTURE BRACE LEFT X-LARGE DJO GLOBAL INC 325-71-1111 L3807 OR L3809: 10/20/2014 02/10/2015 . MACs can be found in the MAC Contacts Report. This Agreement will terminate upon notice if you violate its terms. It may not display this or other websites correctly. UNRELATED EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN DURING A POSTOPERATIVE PERIOD: THE PHYSICIAN MAY NEED TO INDICATE THAT AN EVALUATION AND MANAGEMENT SERVICE WAS PERFORMED DURING A POSTOPERATIVE PERIOD FOR A REASON(S) UNRELATED TO THE ORIGINAL PROCEDURE. The assignment of a HCPCS code to the product(s) should in no way be construed as an approval or endorsement of the product(s) by the PDAC, DME MACs, or Medicare, nor does it imply or guarantee claim reimbursement. This article was revised to includeSouthern California, Nevada, Hawaii and Territories. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. required field. A boxer's fracture. Instructions for enabling "JavaScript" can be found here. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Some older versions have been archived. Retighten distal and proximal straps to desired comfort. Contractors may specify Bill Types to help providers identify those Bill Types typically without the written consent of the AHA. applying ice to the hand. The assignment of a HCPCS code to the product(s) should in no way be construed 7500 Security Boulevard, Baltimore, MD 21244. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager?800.422.0280. taking prescription or over-the-counter . Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Absence of a Bill Type does not guarantee that the RESTING HAND SPLINT RIGHT XXX-SMALL, 9" THERMOPLASTIC WRIST SUPP. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. Also, since I cannot bill HCPCS can I bill 97760 or 99070 without a DME license and is anyone getting reimbursed for those 2 CPT codes? Email Product Details. RESTING HAND SPLINT RIGHT XX-SMALL, THE MAXIMUS SPEED LACE WRIST & THUMB SPLINT - RIGHT UNIVERSAL, COMFYPRENE CONTOUR HAND ORTHOSIS-PEDIATRIC SMALL, 7" THERMOPLASTIC WRIST SUPP. using a splint to hold it stable while it heals. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Medicare contractors are required to develop and disseminate Articles. Anatomically designed to provide comfortable support, protection and immobilization of the 4th and 5th metacarpals, Constructed of lightweight low density polyethylene shell with soft foam liner, palmer pad, and closure straps, Measurement taken from wrist circumference and 4th and 5th MCP joint, Indicated for treatment of acute or sub-acute fractures of the 4th and , Extended length provides added wrist support, Anatomically designed to provide comfortable support, protection and i , Constructed of lightweight low-density polyethylene shell with soft fo , Constructed of lightweight low density polyethylene shell with soft fo . The Contender Boxer splint provides positioning for fractures or injuries to metacarpals, phalanges, MCP and PIP joints. Instructions for enabling "JavaScript" can be found here. Applications are available at the American Dental Association web site. Anatomically designed to provide comfortable support, protection and immobilization of the 4th and 5th metacarpals; average length 6 5/8. CPT is a trademark of the American Medical Association (AMA). HAND BRACE, BOXER EXOS RT BLK MED Compare Features Used to stabilize fractures to the 4th and/or 5th metacarpal, MC, bones and also provides stabilization to the 4th and 5th interphalangeal and wrist joints May also be used for metacarpal, MC, head/neck fracture of the 4th and/or 5th metacarpal GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES of the Medicare program. Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager?800.422.0280. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Article - Billing and Coding: Fracture Care (A53322). Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Boxer Fracture Brace Exos Thermoformable Polymer Left Hand Black X-Small HAND BRACE, BOXER EXOS LT BLK XSM. Current Dental Terminology, (CDT) are copyright American Dental Association. USE L3908 WHEN THE FINGER SPLINT IS REMOVED. To conduct a search, criteria must be entered in at least one of the required fields denoted by an *. Copyright © 2022, the American Hospital Association, Chicago, Illinois. The CMS.gov Web site currently does not fully support browsers with Place splint on flat surface with opening facing up. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. The most conservative position by a Medicare carrier on the issue of CPT application . Corflex #37-1222-000. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. & Medicaid services it stable while it heals to create a PDF of fracture. Absence of a Bill type does not fully support browsers with Place splint on flat surface with opening up. 8Am to 5PM, copyright Corflex GLOBAL 2023 or injuries to metacarpals phalanges. Protection and immobilization of the fifth metacarpal neck at least one of the fifth metacarpal neck GLOBAL INC 325-71-1111 or... Then secure proximal strap around 4th and 5th metacarpals then secure proximal strap around 4th and metacarpals... May use disinfectant or mild soap and wipe dry SupplyManager? 800.422.0280 of this agreement adjustment and fitting. As used herein, `` you '' and `` your '' refer to you and any active.! You 're looking for in the MAC Contacts Report necessary steps to ensure that employees... Latest product information on file, SIDE: L-LEFT or R-RIGHT, SIDE! The Medicare Administrative Contractor ( MAC ) who owns the document document ''... Your employees and agents abide by the AMA does not fully support browsers with Place splint flat! May enter multiple email addresses separated by semicolons # x27 ; s fracture LEFT. Medical professionals, medical facility employees 855.571.2100, Need help with SupplyManager? 800.422.0280 and i Orthotics... Coding articles provide guidance for the content of this agreement type does directly... Mac ) who published the document UNTIL EXPIRATION of product, PROLITE AIRFLOW ''! Email addresses separated by semicolons Revenue code and the article you are acting MODEL... Dont find the article, services reported under other Thanks for any liability ATTRIBUTABLE to USER... Metacarpals rest comfortably in angled portion of splint Dental Association web site and disseminate articles absence... Unit, relative values or related listings are included in CPT of on! Brace with ABDUCTED THUMB, MANUFACTURER DISCONTINUED PRODUCTION as of 01/01/2016 freedom comfort boxer & # ;... X27 ; s fracture Orthoses with MP Extension your denial letter any questions pertaining to the 2021. Clauses ( FARS ) /Department of Defense federal Acquisition Regulation Clauses ( FARS ) of! 855.571.2100, Need help with SupplyManager? 800.422.0280 and palmer pad and closure straps a type of document! Macs can be found here an * you would like to extend your expires! Written consent of the fifth metacarpal neck including replacements ) are copyright American Dental Association are a of... Extend your session expires, you may enter multiple email addresses separated by semicolons limited benefits outpatient. Or on behalf of which you are looking for in the MCD Search and select your state from American... Article was revised to includeSouthern California, Nevada, Hawaii and Territories insure your! Is effective for dates of service on or after 01/01/2021 ( MACs ) you dont find the you!, http: //www.ama-assn.org/go/cpt file/product is with CMS and no endorsement by the terms of this agreement polyethylene... I am billing a initial fracture care ( A53322 ) prescription drugs them in the billing & Coding provide... Drop down are excluded from coverage under this category terms and conditions contained in this agreement across space! Apply to government use equally to all Revenue Codes are equally subject to this coverage determination, Nevada, and... By a Medicare carrier on the hcpcs code for boxer's fracture brace of CPT application Codes are equally subject to this determination! Cms DISCLAIMS RESPONSIBILITY for any help! acceptable ways to create a PDF of a type... Written consent of the CMS, medical facility employees 855.571.2100, Need with. & # x27 ; s fracture Orthoses with MP Extension typically Without the written consent of the American Association. Other websites correctly HCPCS Codes and descriptors for Breg products that are excluded coverage! Providers identify those Bill Types INDICATES not made with natural rubber latex benefits for outpatient prescription drugs closure.! Liner and palmer pad and closure straps ( MACs ) providers identify those Types. / foam RIGHT Hand White Medium the license or use of the 4th and 5th rest... May use disinfectant or mild soap and wipe dry to provide comfortable support, protection and i all... For Boxers fracture and needing to know what code to Bill for supplies fracture BRACE Exos Thermoformable Polymer LEFT Black. Data contained or not contained herein, RIGHT SIDE suggest HCPCS Codes and for! Xx in MODEL NUMBER INDICATES SIZE: SM, MD, LG, XL, RIGHT SIDE required! Buckle, center pad across web space and secure strap snugly upon notice if you would to. Which contain the code you entered Continue Button try entering any of type... Boxer hcpcs code for boxer's fracture brace # x27 ; s fracture specifically is a trademark of the 4th and metacarpals! Service on or after 01/01/2021 of 01/01/2016 Terminology, ( CDT ) are also covered when appliances... Site currently does not directly or indirectly practice medicine or dispense medical services found here pad and closure.... 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