Over 30% of maxillofacial prosthetic claims—especially nasal prostheses—face reimbursement delays due to incorrect documentation or modifier use (AAPPM, 2024). This […]

Did you know that over 1 in 10 claims for facial prosthetics—including nasal prostheses—get denied due to avoidable billing errors?

To optimize billing for lymphedema & chronic venous insufficiency, ensure accurate ICD-10 and HCPCS code pairing, document medical necessity with

Billing errors in prosthetic and orthotic services contribute to over 10% of all claim denials, costing providers thousands in lost

Syme’s-level prosthetic claims often face high denial rates due to poor documentation and improper coding. These below-knee prostheses, used after

Billing for cosmetic hand prosthetics is often misunderstood as simpler than functional prostheses—but that couldn’t be further from the truth.

To bill for myoelectric arm and hand prosthetics, use accurate HCPCS codes (e.g., L6880), ensure proper documentation including a letter

Billing for a myoelectric arm prosthesis is high-stakes. These advanced devices can cost anywhere between $20,000 and $100,000+ per limb,

To bill and code for forequarter amputation prosthetics, use ICD-10 codes like Z89.411 for diagnosis and HCPCS codes such as