Podiatry Coding & Billing Alert

Medicare might pay for mycotic nail debridement

Know frequency limitations for CPT 11720 and CPT 11721 . If Medicare routinely denies claims you submit with 11720 or 11721, take heart: Many carriers actually cover debridement. Read on for simple ways to avoid denials and recoup your rightful payment for "routine foot care." Follow Criteria for Procedure Codes When it's time to report mycotic nail debridement, you have three coding choices: • 11720 -- Debridement of nail(s) by any method(s); one to five • 11721 -- ... 6 or more • G0247 -- Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include the local care of superficial wounds (i.e., superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails. Extra tip: Remember that certain criteria [...]
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