11721

  1. J

    Wiki Routine Foot Care and the LCDs

    Hello, I am hoping to gain some clarification make sure that I understand the LCD correctly. The practice that I work for uses 2 different LCDs (depending on what state the patient was seen in--A57759 or A57188). When using the patient's systemic condition as the diagnosis code when billing...
  2. A

    Wiki Billing 99213, 11721 & 11055 Humana

    I am having a hard time getting the any office visit code (99212, 99213, 99214) 11721 & 11055 all paid by Humana. I have always had trouble with this insurance bundling these services and only paying for the lower dollar amount item (this example 11055 was the only one paid). This is how I...
  3. E

    Wiki 11720-11721 Fungal Nail Discussion

    My company recently paid for a private auditor to come in and assist the providers with correctly documenting Routine Foot Care, Mycotic Nails, etc as this seemed to be a problem area for them in the past on previous audits. The auditor came back stating that Medicare requires the medical note...
  4. B

    Wiki Podiatry Billing for Routine Footcare 11721

    I am having trouble with the code 11721 getting paid by Medicare since ICD 10. Has anyone figured out how to get around this? We never had an issue with this code before ICD 10, but now we are getting denials stating that it is not "medically necessary. The dx codes we use are B35.1 as primary...
  5. J

    Wiki Nail Debridement for Hospice Patient

    We bill for a podiatrist who sees patients in various nursing facilities. Among those patients are some in hospice. For a diabetic Medicare patient we are coding a 11720 or 11721 with the Q-modifier, GW modifier, PCP and date last seen by PCP. Medicare is flatly denying all of our nail...
    • jerrypratt
    • Thread
    • 11720 11721 debridement hospice podiatrist
    • Replies: 5
    • Forum: Podiatry
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