Healthcare Services

Prosthetic Consultant Group is emerging as a unique benefit to the insurance industry in controlling costs associated with upper and lower limb prosthetics. With over 34 years of experience, Prosthetic Consultant Group provides appropriate HCPCS coding for the authorized Prosthetist to design a unique prosthesis for each individual client. Following delivery of the prosthesis our Quality Control Team ensures that the client is satisfied and received the appropriate device. Currently the treating Prosthetist is solely in charge of what componentry to invoice with no one validating or auditing the delivered prosthetic device.

Consultation and Evaluation 

Our Consultation and Evaluation process asses the needs of the client along with their current ability and physiological status. We encourage an open dialog so that the client has a good understanding of a prosthetic device and how they function. We work with all manufacturers and recommend devices that allow the client to incorporate into their life easily and effectively. Our goal is to achieve a positive outcome for the client, where they can use the device to its full potential.

Provide appropriate HCPCS coding and Quantity 

There are over 300 HCPCS codes for prosthetics representing different designs and componentry. Multiple codes are utilized in the design of a prosthesis affecting the cost of the device. Prosthetic Consult Group utilizes the most cost efficient codes to design a prosthesis that meets the individual needs of the client. These definitive codes are provided to the treating prosthetist to design, fabricate and fit the prosthetic device.

Audit Delivery of Prosthetic device 

Prosthetic Consult Group helps ensure that the client receives a prosthesis that is consistent with the authorization. Our Quality Control Team will visually inspect the fabrication of the socket and componentry, inspect the fit and function of the prosthesis as well as validate all serial numbers so they match client’s name. We will make recommendations to the treating prosthetist if any discrepancy or problems are noted.

We look forward to partnering with you in controlling costs associated with prosthetic devices. If you have any questions, please contact us at (949) 837-8311.