Current Pedorthics March-April 2016 | Vol.48, Issue 2 - Page 31

PART 2 Photo from: @iStockphoto.com/dlphoto6 (Carbon/Graphite) with an orthotic (of some kind) and indicate that it too may be an HCPCS L 2755? Sometimes the term “graphite fiber” is used to refer to carbon fiber, or to carbon fiber-reinforced polymer composites. The directive still lacks certainty. First, “graphite fiber” was not indicated. Second, Carbon fiber is not made from or with graphite. Carbon fiber is made from filaments of polyacrylonitrile and other organic substances. All things considered, an HCPCS L 2755, as per the short form description, is an unknown. The long description of HCPCS code L 2755 is a puzzle. The long description of HCPCS code L 2755 commences with: “Addition to lower extremity orthosis.” By definition: an orthosis is an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system. Again no specifics, which of the many types of custom fabricated lower extremity orthosis is, or are mandated for addition? The lower extremity itself represents a considerable portion of the neuromuscular and skeletal systems. Should the reader need to consider any portion in particular? A hip, a knee, the calves, ankles, a toe device or a whatever? The HCPCS code L 2755 long form description stipulates: “High Strength, Lightweight Material” without specifying the strength, weight, or material preference. This is uncertainty. "Again no specifics...The lower extremity itself represents a considerable portion of the neuromuscular and skeletal systems. Should the reader need to consider any portion in particular?" Current Pedorthics March/April 2016 29