What the "L" happened...Is getting an L-code risky?
Автор: Brent Wright
Загружено: 2026-02-18
Просмотров: 1
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We break down how L code pricing is set, why crosswalk and gap-fill can fail innovators, and how appeals drain time and cash. Two case studies—Point Designs’ digits and Ethnocare’s volume system—expose how “divide by five” logic and invoice anchoring distort value, while 3D printing and hybrid workflows offer a path forward.
• crosswalk vs gap-fill pricing methods and trade-offs
• pitfalls of 99 miscellaneous codes and ALJ appeals
• point designs digits priced against a mechanical hand
• Ethnocare’s volume management tied to sock costs
• framing comfort as adherence, safety and savings
• click medical as a data-backed reimbursement win
• Medicare recognizing 3D printing as manufacturing
• desktop tpu print farms and reliability advances
• hybrid workflows using load-bearing capture and automation
• fragmentation in O&P advocacy and need for alignment
Thank you for listening. We’re in 118 countries and nearing 35,000 listeners—keep learning with us and share the show.
Special thanks to Advanced 3D (https://www.adv3dinc.com) for sponsoring this episode.
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