Orthosis - Ankle Foot with Ankle Joints - Custom Made

When to use this code

Use this code for assistive technology items that help the participant perform daily tasks or improve their independence. AT can include mobility aids, communication devices, personal care equipment, and home automation tools. Most AT purchases over $1,500 require an assessment report from a qualified therapist.

Common billing scenarios

• A participant purchases an item under this code at the listed price of the quoted rate. The provider submits a claim with the invoice and any supporting documentation.
• A provider supplies equipment and claims the cost directly. If the item exceeds the price limit, the provider must obtain approval for the additional amount before delivery.

Provider notes

• Capital supports are one-off or infrequent purchases rather than ongoing services. Make sure you have the required assessments and approvals before purchasing or delivering items. Capital funding cannot be moved to other budget categories.
• When billing under this code, make sure the support delivered matches the description in the NDIS Support Catalogue. Mismatched codes are a common audit finding. Keep records of the date, time, duration, and nature of each support session.