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Independence has updated its billing requirements on cast and splint
applications and associated supplies that are provided in an office setting.
The following policies are currently posted as Notifications and will go into
effect December 1, 2017:
- Commercial: #00.10.15c: Cast and Splint Applications and
Associated Supplies Provided in the Office Setting
- Medicare Advantage: #MA00.012b: Cast and Splint
Applications and Associated Supplies Provided in the Office Setting
The following HCPCS codes have been added to these policies, effective
December 1, 2017:
- E0117: Crutch, underarm, articulating, spring assisted,
each
- E0118: Crutch substitute, lower leg platform, with or
without wheels, each
The following HCPCS codes are no longer eligible for reimbursement,
effective December 1, 2017:
- A4570: Splint
- A4580: Cast supplies (e.g., plaster)
- A4590: Special casting material (e.g., fiberglass)
For more information
A comprehensive list of eligible codes for cast and splint applications and
associated supplies that are provided in an office setting can be found in
Attachment A of the policies listed above.
To view the Notifications for these policies, visit our Medical Policy Portal. Select Accept and Go to Medical
Policy Online, and then select Commercial or Medicare
Advantage under Active Notifications.
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