Health Insurance Reimbursement for Carpal Tunnel Syndrome Treatment
 

Many health insurers and programs including Private, Medicare Reimbursement, Medicaid and State Worker’s Compensation cover the cost of orthotic devices like the Carpal Therapist.

Medicare pays a minimum of $184.00 and a maximum of $245.00. Private insurers generally reimburse 80% of Medicare.

To facilitate a timely reimbursement from your insurer we've provided the information and forms you will need.

Typically, health insurers require that you submit the following:

1. A written prescription from your Doctor, Hand Therapist, Chiropractor, Occupational Therapist, Neurologist, Physiatrists, or other appropriate medical professional for a Hand Wrist Orthosis
2. A copy of the receipt for your purchase of the device prescribed
3. A claim form.

Below are the appropriate Claim Forms in PDF format:

a) Private Insurance Standard Claim Form         
b) Medicare or Medicaid Insurance Claim Form cms1490
c) For Workers Comp forms you'll need to look on the website for your state as these programs vary.

The amount of reimbursment you'll receive depends upon your individual policy. Medicare varies by state

 
Carpal Tunnel Syndrome Diagnostic & Orthotic Codes For Effective Hand Therapy 

The Medical Classification used by insurance companies, the American Medical Association (AMA) and Medicare is Wrist Hand Finger Thumb Orthosis.

The Primary Codes generally required by most health insurance companies for device reimbursements such as the Carpal Therapist are:

1- The Product HCPCS Code:  L3807

2- The ICD Code (International Classification of Disease):  354.0 - Carpal Tunnel Syndrome