Includes fitting and adjustment or custom fit by someone with expertise
is a pre fabricated device which has been altered significantly so that this device is unique for one single patient to use.
The difference between these two is that the narrative for includes fitting and adjustment has no prefabricated off the shelf version (e.g.L1971).The second one which has “custom fit by someone with expertise”does have an off the shelf (L4386 vs.L4387).
Includes fitting and adjustment or custom fit by someone with expertise
is a pre fabricated device which has been altered significantly so that this device is unique for one single patient to use.
The difference between these two is that the narrative for includes fitting and adjustment has no prefabricated off the shelf version (e.g. L1971). The second one which has “ custom fit by someone with expertise” does have an off the shelf (L4386 vs. L4387).
For more information see the AFO LCD policy. https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33686
What exactly does includes fitting and adjustment or custom fit by someone with expertise mean. Aren’t they the same?
I am confused by both of these HCPCS codes and how they differ.