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Offloading

Offloading

Offloading

CLINICAL


Types of offloading devices

Several offloading methods exist and can be roughly divided as:

  • Non-removable:
    • Cast supplies:
      • Knee-high non-removable device: total contact cast (TCC)
    • Walking boot:
      • Knee-high removable cast walker (RCW) rendered non-removable (instant TCC or iTCC)
  • Removable
    • Cast supplies:
      • Ankle-high removable cast: Scotch Cast, Ransart boot
    • Walking boot:
      • Knee-high removable cast walker (RCW)
      • Charcot Restraint Orthotic Walker (CROW)
    • Therapeutic shoes
      • half-shoes
      • heel-relief
      • orthowedge
  • Other
    • Crutches, wheelchair

See pics with different shoes on the DFU google doc


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Topic 86 Version 1.0

Subtopics

CODING, COVERAGE AND REIMBURSEMENTGeneralLCD: https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=33686&ContrID=140Policy Article: https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?art

CODING, COVERAGE AND REIMBURSEMENT This section currently focuses primarily on Medicare. It may be expanded in the future to include information on private insurers as well.GeneralOverall, Canes and Crutches are covered under the Durable Medical Equipment benefit (Social Security Act §1861(s)(6)) = place of

CODING, COVERAGE AND REIMBURSEMENT This section currently focuses primarily on Medicare. It may be expanded in the future to include information on private insurers as well.Generalcheck debridementTotal Contact CastHCPCS of covered items: c

CODING, COVERAGE AND REIMBURSEMENT This section currently focuses primarily on Medicare. It may be expanded in the future to include information on private insurers as well.GeneralOverall, . These items are only covered if used at the beneficiary's residence (place of service 12) and are not separately payab