Insurance / Medicare

Thermophore Products
HCPCS Code: EO215
Diagnosis: Arthritis Pain Management

You must have a prescription from a doctor in order to be considered for reimbursement by your insurance provider.

2001 Medicare DME Fee Schedules for Thermophore Packs

Region A Code HealthNow NY, Inc., DMERC A PO Box 6800 Wilkers-Barre PA 18777-9458 866-419-9458 Toll Free www.umd.nycpic.com Payment: $59.92 Massachusetts Maine New Jersey Vermont New Hampshire New York Payment: $67.73 Connecticut Payment: $70.49 Rhode Island Delaware Pennsylvania

Region B Code  AdminaStar Federal, Inc. PO Box 7078 Indianapolis IN 46207-7078 877-299-7900 www.astar-federal.com Payment: $59.92 Illinois Indiana Michigan Minnesota Payment: $70.49 Washington D.C. Wisconsin Maryland Ohio West Virginia Virginia

Region C Code Medicare DMERC Operations Palmetto Gov't Benefits Admin PO Box 100141 Columbia SC 29202-3141 866-238-9650 www.palmettogba.com Payment: $59.92 Alabama Kentucky South Carolina Florida Oklahoma Mississippi Virgin Islands Georgia New Mexico Payment: $70.49 North Carolina Louisiana Tennessee Arkansas Colorado Texas Payment: $108.48 Puerto Rico

Region D Code Connecticut General Life Ins. (CIGNA Medicare) PO Box 690 Nashville TN 37202 877-320-0390 www.cignamedicare.com Payment: $59.92 Montana Oregon Utah Payment: $63.81 Arizona Nevada Payment: $70.49 North Dakota Wyoming South Dakota California Idaho Iowa Washington Nebraska Kansas Missouri Payment: $86.38 Hawaii

AirCast Products

Air-Stirrup ®

CMS / HCPCS - Billing Code

02AL, 02AR - Standard Ankle Brace (L) 02BL, 02BR - Training Ankle Brace (M) 02CL, 02CR - Small Ankle Brace 02JL, 02JR - Pediatric Ankle Brace	L4350	Pneumatic ankle control splint, prefabricated, includes fitting and adjustment
03AL, 03AR - Leg Brace 03BL, 03BR - Leg Brace w/ Anterior Panel 03CL, 03CR - Small Leg Brace 03DL, 03DR - Small Leg Brace with Anterior Panel	L4370	Pneumatic full leg splint, prefabricated, includes fitting and adjustment

Walking Brace

01F (all sizes) - FoamWalker ™ 01P (all sizes) - PneumaticWalker ™ 01A (all sizes) - SP-Walker ™ 01PD (all sizes) - PneumaticWalker ™ for Diabetics

L4360

Pneumatic ankle foot orthosis, with or without joints, prefabricated, includes fitting and adjustment

Specialty

06B - Patellar Brace	L4380	Pneumatic knee splint, prefabricated, includes fitting and adjustment
05F (all sizes) - StabilAir	L3984	Upper extremity fracture/orthosis, wrist, prefabricated, includes fitting and adjustment.
05W (all sizes) - A2 Wrist Brace	L3908	Wrist/hand orthosis, wrist extension control cock-up, non molded, prefabricated, includes fitting and adjustment.
02P (all sizes) - Airlift PTTD Brace 02T (all sizes) - A60 Ankle Brace	L1906	Ankle/foot orthosis, multiligamentus ankle support, prefabricated, includes fitting and adjustment.

Cryo Cuff

*Suggested Codes

10A/10P - Ankle Cryo/Cuff 14A - Back/Hip/Rib Cryo/Cuff 13C - Calf Cryo/Cuff 10W - Cryo/Cuff for Walking Brace 15A - Elbow Cryo/Cuff 10B/10C/10D - Foot Cryo/Cuff 16A - Hand/Wrist Cryo/Cuff 11ASC/11A/11B/11C/11P - Knee Cryo/Cuff 12A/12AXL - Shoulder Cryo/Cuff

L1399

If the use is for a compression wrap with re circulating cold OR post operation compression dressing with re-circulating cold.

Cryo Cuff with AutoChill

*Suggested Codes

20C/20CA - Autochill Docking Station 20B/20D- Autochill System 10A20B - Ankle Cryo/Cuff Autochill System 11A20B/11B20B/11C20B - Knee Cryo/Cuff Autochill System 12A20B/12AZL20B - Shoulder Cryo/Cuff Autochill System

L1399

If the use is for water circulating cold pad with pump.