i‐limb™ Product Line & Billing Summary i‐limb™ Product Comparison i‐limb ultra revolution i‐limb ultra i‐limb access 5 multi‐articulating digits 5 multi‐articulating digits 5 multi‐articulating digits Pulse modulation ‐ 5 digits Pulse modulation ‐ 5 digits Pulse modulation ‐ 3 digits Individual stall out ability Individual stall out ability Individual stall out ability Compliant grip, proportional control Compliant grip, proportional control Compliant grip, proportional control Enhanced grip feature (vari‐grip) Enhanced grip feature (vari‐grip) Drop prevention feature (auto‐grasp) Drop prevention feature (auto‐grasp) Drop prevention feature (auto‐grasp) 24 grip patterns and gestures 14 grip patterns and gestures 12 grip patterns and gestures Powered thumb with manual override my i‐limb patient control mobile app with Quick Grips & Favorites biosim‐i software for patient Manually rotatable thumb my i‐limb patient control mobile app with Favorites biosim‐i software for patient Manually rotatable thumb my i‐limb patient control mobile app with Favorites biosim‐pro software for clinician iPod device for my mobile app Car Charger included Wrist options: multi‐flex, flex, quick wrist disconnect, or wrist disarticulation Size Options: small or medium biosim‐pro software for clinician iPod device for mobile app
Car Charger included Wrist options: multi‐flex, flex, quick wrist disconnect, or wrist disarticulation Size Options: small or medium biosim‐pro software for clinician Wrist options: multi‐flex, flex, quick wrist disconnect, or wrist disarticulation Size Options: small or medium Color Options: black or neutral Color Options: black or neutral Color Options: black or neutral Natural hand mode Natural hand mode Touch Care Coverage (1‐5 years) Touch Care Coverage (1‐5 years) Touch Care Coverage (1 year) Patient Care Pathway access Patient Care Pathway access Patient Care Pathway access Touch Link Academy Certification Touch Link Academy Certification Training of local therapist Training of local therapist Online and telephone therapy support Online and telephone therapy support Online and telephone therapy support Online and telephone clinical support Online and telephone clinical support Online and telephone clinical support Reimbursement support services Reimbursement support services Reimbursement support services Travel case Travel case Liberating
Technologies, Inc.
325 Hopping Brook Road, Suite A, Holliston, MA 01746-1456
www.liberatingtech.com
Phone 508-893-6363
FAX 508-893-9966
MA 01178, Issue No. 1, August 2013 i‐limb™ Product Line & Billing Summary i‐limb™ Billing Summary HCPCS Feature L6935 L6880 L6881 L6882 L7367 L7368 L7499 L7499 L7499 L7499 L7499 L7499 L7499 L7499 L7499 L7499 L7499 L6890 L6895 L6621 i‐limb™ ultra i‐limb™ ultra i‐limb™ access revolution extended support average Medicare extended support suggested billing billing suggested billing Myoelectric hand base code Multi‐articulating digits Auto‐grasp Microprocessor control Battery Charger Proportional control vari‐grip Pulse Modulation ‐ 5 digits User positionable thumb Motorized rotating thumb biosim for PC/Mac ‐ Professional biosim Pro APP My i‐limb patient mobile control app 24 qrip patterns and gestures Initial 12 month warranty Additional 12 month warranty (per year)† i‐limb skin active covering (per glove)†‡ i‐limb skin natural covering (per glove)†‡ Socket kit Total Recommended Billing Wrist options (not in total) $11,587.74 $31,701.70 $5,423.11 $4,113.70 $516.44 $669.48 $6,907.54 $4,700.00 $4,700.00 $5,250.00 $6,250.00 $7,600.00 $1,650.00 $1,200.00 $4,850.00 $6,800.00 $6,800.00 $251.11 $823.20 $2,304.58 $114,098.60 $3,034.15 $11,587.74 $31,701.70 $5,423.11 $4,113.70 $516.44 $669.48 $6,907.54 $4,700.00 $4,700.00 $5,250.00 $6,400.00 $1,200.00 $6,800.00 $6,800.00 $251.11 $823.20 $2,304.58 $100,148.60 $3,034.15 $8,449.40 $23,115.82 $3,954.36 $2,999.57 $376.58 $488.17 $182.90 $600.50 $1,680.61 $41,847.91 $3,034.15 †Total recommended billing will vary due to the quantity of each HCPCS code billed to the funding agency. ‡Touch Bionics recommends requesting prior authorization for all of the coverings that will be delivered through Touch Care Program and billing for each L6890 and L6895 code upon delivery and receipt by your patient. The responsibility for accurate coding lies with the patient care facility that selects a product and fits a patient. Touch Bionics’ coding recommendations are based on our best judgment. These recommendations are open to revision based on additional information or changes to the L‐code system. Liberating Technologies, Inc.
325 Hopping Brook Road, Suite A, Holliston, MA 01746-1456
www.liberatingtech.com
Phone 508-893-6363
FAX 508-893-9966
MA 01178, Issue No. 1, August 2013