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Podiatry Coding & Billing Alert

Reader Questions:

Track Down Proper Debridement Coding Techniques

Published on Sun Aug 15, 2010

Question: I am coding for debridement of mycotic nails using CPT 11720 or CPT 11721 . Why does Medicare continuously deny my claims?Massachusetts SubscriberAnswer: Don't fret. Many carriers do cover debridement. You just have to take note of some important details. First, you should keep in mind your three coding choices:11720 -- Debridement of nail(s) by any method(s); one to five11721 -- ...6 or moreG0247 -- 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.CPTs 11720-11721 are applicable if the patient has an infection and pain during ambulation. Among many carriers' diagnosis requirements for debridement coverage is the presence of [...]
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