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Podiatry Coding & Billing Alert

CCI Edit Creates New Opportunities to Unbundle Plantar Injection and Strapping

Published on Sun Mar 21, 2010

Use modifier indicator reversal to capture 64455 payment. You'll jump for joy at the one change this quarter's Correct Coding Initiative (CCI) edits brings for podiatry coding. Effective for dates of service beginning April 1, 2010, code 64455 (Injection[s], anesthetic agent and/or steroid, plantar common digital nerve[s] [eg, Morton's neuroma]) now has a modifier indicator of "1," reports Richard Odom, DPM, ABPS, CPC, a practicing podiatrist at Gulf Coast VA Hospital System in Mobile, Ala. In the past, the modifier indicator has been "0." Change: You now are able to append a modifier, such as 59 (Distinct procedural service), to one of the following column two codes when appropriate, allowing you to break the CCI bundle with 64455: 29515 -- Application of short leg splint (calf to foot) 29540 -- Strapping; ankle and/or foot 29550 -- Strapping; toes 29580 -- Strapping; Unna boot 29590 -- Denis-Browne splint strapping J2001 -- Injection, lidocaine hcl for intravenous infusion, [...]
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