Unna Boots:
29580 Basics: Give Unna Denials the Boot
Published on Mon Sep 24, 2012
Follow our experts' 6 simple steps for strapping success.With just one CPT® code -- 29580 -- for Unna boot applications, it may seem like you've got reimbursement all laced up. But there's more to the story, including associated procedures, the proper diagnosis, and separate E/M coding. These tips will help you kick improper Unna coding to the curb.Step 1: Identify the Covered DxAs with any claim, you should support your Unna boot service (29580, Strapping; Unna boot) with a documented and applicable diagnosis.Most payers will cover the procedure for a very limited number of diagnoses, including varicose veins of lower extremities (454.0-454.2) and lower limb ulcers, except decubitus (707.10, 707.12-707.19). Some payers will accept additional diagnoses, such as atherosclerosis of extremity with ulceration (440.23) or sprains and strains of the ankle and foot (845.00-845.19). Other possible diagnoses include edema (782.3) and lymphedema (457.1), says Arnold Beresh, DPM, CPC, of Peninsula Foot and [...]