Orthotic(s) fitting and training, upper extremity(ies), lower extremity(ies), and/or trunk may be considered reasonable and necessary if there is an indication for education for the application of orthotics and the functional use of orthotics is present and documented in the patient’s medical records maintained by the provider.
Orthotic(s) fitting and training, upper extremity(ies), lower extremity(ies), and/or trunk reflects the fitting as well as the training, as the training in the use of the orthotic is done at the time of the fitting. Typically, orthotic training can be completed in three (3) visits, but based on patient condition/status, may require additional visits. In addition, subsequent visits may be necessary for re-evaluation in modification of the orthotic and/or program. Additional training must meet medical necessity requirements.