Customers report that both Health Insurance Companies and State Worker’s Compensation Insurance programs will cover the cost of the Carpal Solution Therapy Pacs. The usual practice for reimbursement with most health insurers is to get a written prescription from your Doctor, Hand Therapist, Chiropractor, Occupational Therapist or other appropriate medical professional and submit a copy of the written prescription with a copy of the receipt for your purchase of the medical device prescribed. The prescription generally serves as documentation of the medical professional’s formal diagnosis and professional opinion on the appropriate device to help your condition.
The medical classification used by insurance companies and medical organizations to describe the Carpal Solution Device is a Hand / Wrist Orthosis. This designation appears on the receipt you receive through email with your order for the Carpal Solution Six Week Therapy Pac. For minimally invasive devices in the Orthosis classification all that is required by most insurance companies for reimbursement is a copy of the appropriate prescription and a copy of the receipt documenting that you purchased what the doctor prescribed.
Dr. Morgan stated that, “Insurance companies generally reimburse all or some of your expenditure upon following this procedure, depending on the type of coverage to which your insurance policy entitles you.
You may want to check with your health insurance provider in advance regarding your coverage.”
As a convenience for medical professionals, patients and health insurers, a summary of the appropriate descriptive insurance codes commonly used follows.
Three Primary Codes are generally required by most health insurance companies for device reimbursements. These include:
1- The Prescribed Product HCPCS Code
2- The Supplier’s EIN Code
3- The ICD Code (International Classification of Disease)
The Insurance Clerk’s Processing of Reimbursement is easy when you have the right codes.
The Codes Needed for the Carpal Solution Therapy Pacs would be as follows:
HCPCS Codes: L3923 or L 3954
Source: WHF Orthosis spreading hand, upper limb: wrist-hand abduction extracted from the Miscellaneous Prosthetics / Orthotics Product Section of Healthcare Common Procedure Coding Systems (HCPCS) published by Medical Management Institute in 2005.
Provider EIN Code: 0438-13636 Source: First Hand Medical.
ICD Code: 354.0 - Carpal Tunnel Syndrome
Source: International Classification of Disease published by The Center for Disease Control and Prevention (CDC) US Department of Health and Human Services – National Center for Health Statistics Hyattsville, MD.
You will receive these codes on your online receipt confirming your order form our secure
website and on the email receipt when you put in your email address or give an accurate email to our
customer service agent. Physicians, Health Insurers and the medical community at large generally agree that it is much better to try well documented conservative treatments and therapies before resorting to surgery - there is no downside. Most insurance companies are eager to reimburse for a non-invasive therapeutic device that works to relieve Carpal Tunnel Symptoms like the Carpal Solution, it is a much more cost effective approach and reduces strain on the healthcare system when used in place of surgery, rehab and repeat surgeries a few years down the road.
Thank You for ordering the Carpal Solution! May you enjoy active hands for life!
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