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Reimbursement Toolkits

The product/device “Supplier” (defined as an O&P practitioner, O&P patient care facility, or DME Supplier) assumes full responsibility for accurate billing of Ottobock products. It is the Supplier’s responsibility to determine medical necessity; ensure coverage criteria is met; and submit appropriate codes, modifiers, and charges for services/products delivered. It is also recommended that Supplier’s contact payer(s) for coding and coverage guidance prior to submitting claims. Ottobock Coding Suggestions and Reimbursement Guides are based on reasonable judgment and are not recommended to replace the Supplier’s judgment. These recommendations may be subject to revision based on additional information or alpha-numeric system changes. 

Navigate to reimbursement for:

Lower Limb Prosthetics | Upper Limb Prosthetics | Custom Orthotics |

Lower Limb Prosthetics Reimbursement

C-Leg Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Reimbursement Reference Guide
Documentation Guides: C-Leg Activity Chart Guide | LL Prosthetic Activity Chart | LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies:  C-Leg Clinical Studies | Bilateral Studies and Articles | C-Leg Evidence Summary
 

Kenevo Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Kenevo Reimbursement Reference Guide (includes clinical studies)
Documentation Guides: LL Prosthetic Activity Chart | Documentation Tips | LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies: Kenevo Evidence Summary
 

Genium Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Reimbursement Reference Guide | Genium/X3 Evidence
Documentation Guides: LL Prosthetic Activity Chart | LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies: Genium/X3 Clinical Studies | Genium/X3 Evidence Summary
 

X3 Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Reimbursement Reference Guide | Genium/X3 Evidence Summary
Documentation Guides: LL Prosthetic Activity Chart | LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies: Genium/X3 Clinical Studies | Genium/X3 Evidence Summary
 

Harmony

Reimbursement Tool Kit: Reimbursement Reference Guide
Documentation Guides: Harmony Appeal Guide | LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies: Harmony Bibliography | Harmony Study Summaries
 

Meridium

Reimbursement Tool Kit: Meridium Reimbursement Guide
Documentation Guides: LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies: Microprocessor Ankle/Foot Clinical Studies

Empower Prosthetic Foot

Reimbursement Tool Kit: Reimbursement Guide
Documentation Guides: LL Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Documenting Functional Levels, Documenting a Replacement, Signature Guide and Changing the Medical Record
Clinical Studies: Empower Bibliography
 

Upper Limb Prosthetics Reimbursement

Michelangelo-AxonBus Prosthetic System (APS) (includes AxonArm Ergo, AxonHook, AxonRotation)

Reimbursement Tool Kit: APS-Michelangelo Reimbursement Reference Guide
Documentation Guides: Upper Limb Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Myoelectric Justification and Daily Activity Chart template
 

bebionic Hand

Reimbursement Tool Kit: bebionic Reimbursement Guide | bebionic Letter of Medical Necessity | Myobock System Overview
Documentation Guides: Upper Limb Prosthetic Documentation Packet - includes Documentation Guide, Checklist, Fax Request, Myoelectric Justification and Daily Activity Chart template
 

Custom Orthotics Reimbursement

Agilium Freestep

Reimbursement Tool Kit: Reimbursement Guide | Documentation Request for Private Pay
 

Carbon Ankle Seven

Reimbursement Tool Kit: | CA7 Justification
 

C-Brace

Reimbursement Tool Kit: Reimbursement Starter Packet | Reimbursement Guide | C-Brace Evidence
Evaluation Tools: C-Brace Evaluation Form Part A | C-Brace Evaluation Form Part B
Documentation Guides: C-Brace Activity Chart Guide | LL Orthotic Daily Activity Chart | Letter of Medical Necessity Outline | Rule out Less Costly Devices
 

E-MAG Active

Reimbursement Tool Kit: E-Mag Active Justification
Clinical Studies: Stance Control Clinical Studies
 

FreeWalk Stance Control

Documentation Guides: AFO-KAFO Documentation Checklist
Clinical Studies: Stance Control Clinical Studies
 

RGO Hip Joint

Reimbursement Tool Kit | RGO Justification