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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

Lower Limb Prosthetics Reimbursement

C-Leg Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Reimbursement Reference Guide | C-Leg Appeal Guide
Documentation Guides:  LL Prosthetic Documentation Check List | MPK Activity Chart Guide | LL Prosthetic Activity Chart | MPK Product Compare Activities
Clinical Studies:  C-Leg/Compact Clinical Studies | Bilateral Studies and Articles | C-Leg Evidence Summary
 

Compact Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Compact Reimbursement Reference Guide
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart | Documentation Tips for Stance Control MPK
Clinical Studies: C-Leg/Compact Clinical Studies
 

Kenevo Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Kenevo Reimbursement Reference Guide
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart | Documentation Tips for Stance Control MPK
Clinical Studies: Clinical Studies
 

Genium Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Reimbursement Reference Guide
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart | MPK Product Compare Activities
Clinical Studies: Genium/X3 Clinical Studies | Genium/X3 Evidence Summary
 

X3 Microprocessor-Controlled Prosthetic Knee

Reimbursement Tool Kit: Reimbursement Reference Guide
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart | MPK Product Compare Activities
Clinical Studies: Genium/X3 Clinical Studies | Genium/X3 Evidence Summary
 

Harmony

Reimbursement Tool Kit: Reimbursement Reference Guide
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart | Harmony Appeal Guide
Clinical Studies: Harmony Bibliography | Harmony Study Summaries
 

Triton smart ankle

Reimbursement Tool Kit: Triton Smart Ankle Features and Benefits
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart
Clinical Studies: Microprocessor Ankle/Foot Clinical Studies
 

Meridium

Reimbursement Tool Kit: Meridium Features and Benefits
Documentation Guides: LL Prosthetic Documentation Check List | LL Prosthetic Activity Chart
Clinical Studies: Microprocessor Ankle/Foot Clinical Studies
 

Upper Limb Prosthetics Reimbursement

Above Elbow (AxonBus Prosthetic System (APS) – Michelangelo, AxonArm Ergo, AxonHook, AxonRotation)

Reimbursement Tool Kit: AE-APS Reimbursement Reference Guide
Documentation Guides: UL Documentation Checklist | UL Daily Activity Chart
 

Below Elbow (AxonBus Prosthetic System (APS) – Michelangelo, AxonHook, Axon Rotation)

Reimbursement Tool Kit: BE-APS Reimbursement Reference Guide
Documentation Guides: UL Documentation Checklist | UL Daily Activity Chart