Orthofix routinely provides customers with information about appropriate coding of their devices. We understand that information provided by Orthofix in this manner can significantly simplify a provided or supplier's task in determining how to bill for these products. Orthofix solicits confirmation of correct coding directly from CMS.
Accordingly, CMS and other payers, in reviewing for appropriate billing, will regard such information as, in general, reasonable support for a coding decision with respect to whether a payment was appropriate.
Listings of codes, whether diagnostic or procedural, represent those that may apply to that patient encounter. It is the customer's responsibility to determine which combination of codes from this listing actually applies to that specific patient encounter. Providers of services or items are ultimately responsible for the content of the bills they present to Medicare or any other payer.
Should additional questions arise about appropriate coding on an Orthofix product that cannot be resolved independently, the appropriate first step is to seek clarification from Orthofix by sending an email to email@example.com