Guest guest Posted January 31, 2009 Report Share Posted January 31, 2009 I recently ran across this blurb on the Orthomerica (makers of the STARband) website and thought I would share it for those of you who are having problems getting the band covered by insurance: Ask your insurance company if they cover DME (Durable Medical Equipment) and/or cranial remolding orthoses. Cranial remolding orthoses are custom molded devices and carry a specific billing code of S1040 or an undifferentiated code of L1499 or E1399. If your insurance company says that it covers billing code L0100, tell them that the L0100 code is for a protective helmet, not a remolding orthosis. If your insurance company tells you that " orthotics " are excluded in your policy, ask what type of " orthotics " the policy refers to. Many insurance companies exclude orthotics worn in the shoes to prevent a variety of foot problems and inaccurately generalize the term to include cranial remolding and other types of orthoses. Molly Novato, California Nicolas, 3, tort & plagio, STARband (CIRS Oakland) 4/24/06-9/12/06, Graduate! , 5.5 , 9 Quote Link to comment Share on other sites More sharing options...
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