Podiatry Coding & Billing Alert

Question: I understand that both G0247 and CPT 11720 -CPT 11721 apply to mycotic nail debridement. How do I decide which one goes with my claim? Wisconsin Subscriber Answer: The carrier should specify that it prefers 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), instead of 11720 (Debridements of nail[s] by any method[s]; 1 to 5) and 11721 (Debridements of nail[s] by any method[s]; 6 or more) in diabetic neuropathy cases. Example: If a physician treats symptomatic mycotic nails on a patient with diabetic sensory neuropathy, carrier Palmetto GBA says in its LCD that its [...]