By Larry Huppin, DPM on
8/13/2012 1:12 PM
I have received a number of questions lately on how to bill Medicare for foot orthoses. First, realize that Medicare does not pay for functional foot orthotics under any circumstance. This doesn’t mean that they won’t pay accidently if you bill it. It means that you should not bill it and if you do they will ask for their money back and maybe audit you. So don’t try to get Medicare to pay for FFOs.
You may have to bill Medicare for FFOs, however, in order to receive a denial so that a secondary insurance can be billed. If you do this you must include a modifier that essentially says “Hey Medicare, I’m billing for these orthotics, but I don’t want you to pay for them, just give me a denial.
To do this, you must use