Podiatry Coding & Billing Alert

Extra guidelines apply if you don't submit 11720 or 11721. When you prepare claims for mycotic nail debridement, your carrier may specify that it prefers G0247 instead of CPT 11720 and CPT 11721 in diabetic neuropathy cases. For example, if a physician treats symptomatic mycotic nails on a patient with diabetic sensory neuropathy, carrier Palmetto GBA says in its LCD that its providers should report G0247 (Routine foot care by a physician of a diabetic patient ...). Be sure to note whether your carrier prefers CPT or HCPCS codes when reporting this procedure. Careful: If you must report the G code, you have special guidelines to follow, according to CMS's Routine Foot Care/Mycotic Nail Debridement information. Included in these guidelines are the following pointers: • Report G0247 only in conjunction with either G0245 (Initial physician evaluation and management of a diabetic patient ...) or G0246 (Follow-up physician evaluation and management [...]