A K0108 Case Study

Comfort Foot

Comfort Company’s K0108-coded Comfort Foot.

Conceivably, the complex rehab technology niche has tens of thousands of systems, components and hardware items that fall under the K0108 code, either on their own or when part of a modular repair situation. How can so many products lack a code of their own and therefore default to the miscellaneous K0108?

Here’s a look at a current K0108-coded product: Comfort Company’s Comfort Foot.

What It Is

Stacey Mullis, OTR, ATP, director of education, described Comfort Foot as “a lower-extremity positioner that promotes alignment of lower extremities when weakness, abnormal tone, or contractures are present; provides pressure distribution to decrease risk of wounds; accommodates contractures at the knee or ankle and can prevent progression of abnormal postures; is adjustable in length to decrease tone and minimize excessive pressure on the ball of the foot that can increase tone or trigger unwanted reflexes.” Mullis added that Comfort Foot can be ordered in different configurations to match a client’s specific needs.

Why It’s Under the K0108 Code

What makes this lower-extremity product “miscellaneous”?

“Our Comfort Foot has this code,” Mullis said, “because there are no HCPCS code descriptors that accurately reflect the description and function of the product. The most ‘similar’ codes are for a calf pad or heel loop, which do not reflect the positioning and skin protection capabilities of the Comfort Foot.”

How to Justify It

Despite the range of disparate products that fall under the K0108 code, the process for medically justifying the Comfort Foot resembles that of more specifically coded products.

“The most important thing to remember when justifying this code,” Mullis said, “is to describe in detail why the product is necessary and why a lesser option or omitting the product will be detrimental to the client. In the case of our Comfort Foot, I would recommend to the therapist to describe the physical presentation of the client and how the Comfort Foot will do any of the following: protect skin integrity, prevent wounds by increasing pressure distribution, accommodate foot/ankle contractures, prevent lower-extremity contractures by promoting alignment.”

This article originally appeared in the May 2016 issue of Mobility Management.

In Support of Upper-Extremity Positioning