Partial Hand Prosthesis Patient Happy Again
It is hard to believe this patient has been a loyal client since 2013. She has recently sent two prostheses in for repairwork. The photos on the left and in the middle show her original partial hand prosthesis in 2013. The photo on the right shows the 2 prostheses she recently sent in for repair of the acrylic fingernails.
Servicing a partial hand prosthesis patient over 12 years
Its Time for Replacement but Will Medical Insurance Pay for her New Prosthesis?
We will definitely try to support the patient in obtaining reimbursement for her a new partail hand prosthesis. Her silicone prostheses have lasted well over the magic 5 years. However, Medicare and other insurances make it very difficult to know if the service will actually be covered. We are forced into submitting insurances using a miscellaneous unlisted procedure code L7499. This means coverage for the aesthetic silicone restoration is uncertain and the claim will have to go under medical review where the medical necessity of the device comes under scrutiny. The functional aspect of a partial hand prosthesis of this type is also questioned by insurances.
How Much Will They Allow/Pay for a New Partial Hand Prosthesis?
Reimbursement levels for silicone finger and hand prostheses vary among insurers, and the expected lifespan of these prostheses is subjective, as they deteriorate slowly over time. Anaplastologists and prosthetists strive to create custom devices and ensure patient satisfaction while advocating for insurance coverage of these essential restorative creations. A loyal client from Ohio is expected to visit soon for a new partial hand prosthesis. For more experiences regarding partial hand and finger amputation, visit: https://www.facebook.com/groups/fingerandpartialhandamputees/
Medical Art Prosthetics also offers Naked Prosthesis Options