Medicare & Insurance Information
The Stepwell Custom AFO is a PDAC (Medicare Pricing, Data Analysis and Coding) reviewed and coded device by Noridian Administrative Services as a Medicare contractor. Coding verification can be found on the PDAC website at www.dmepdac.com .Medicare reviewed HCPCS codes for the Stepwell Custom AFO:
- L1940 - Ankle Foot Orthosis, plastic or other material, custom-fabricated
- L2330 - Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
- L2340 - Addition to lower extremity, pre-tibial shell, molded to patient model
- L2820 - Addition to lower extremity orthosis, soft interface for molded plastic, below the knee section
Medicare, and most insurance companies, covers the Stepwell Custom AFO, which by the Ingenix HCPCS linkage code reference publication, totals more than 300 diagnosis codes.
Walkwell is also willing to assist in billing questions by reviewing claims, as well as chart reviews, as part of our comprehensive compliance program for our clients.
The Stepwell Custom AFO ancillary revenues range from approximately $1400-$2200 per device by the published Medicare fee schedules.