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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.




Insurance Medicare
Member of NACP (Formally NARD), Florida Pharmacy Association, Broward Co. Pharmacy Assoc. , Sponsor to community youth programs.
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Hours of Operation: 9am to 5pm EST, M-F