There has been some confusion and misunderstanding lately regarding Medicare requirements for the proximal height of custom molded AFOs. We want to assure you that when billing for an Arizona AFO that the Medicare Pricing, Data Analysis and Coding (PDAC) Advisory Article, dated 11/22/11 https://www.dmepdac.com/resources/articles/2011/11_15_11.html, is still in effect and the coding stated should continue to be used for 2013.
The management of Arizona AFO, Inc. has personally spoken with the coding expert at the PDAC. He stated that this advisory article is in effect and that when billing an Arizona AFO, providers should continue to follow those guidelines. He emphasized that if an AFO does not have PDAC assigned coding then it must meet the new height definition.
PDAC assigned coding is important and that is why Arizona AFO went through the process of having it’s products evaluated so that you may code with confidence.
Here is link to all AZ AFO products that have PDAC assigned codes. Enter “Arizona AFO” as the manufacturer: https://www.dmepdac.com/dmecsapp/do/productsearch.
Thank you for your business and for your continued trust in our company and our products! We look forward to serving you and your patients with quality service and products for many years to come.
Josh White, DPM, CPed
President / Founder