• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

routine foot care

  1. J

    Wiki G0247 vs S0390

    What is the difference between G0247 and S0390? I have an Aetna Medicare Advantage claim that has denied G0247 bundled to 11042. Can the G0247 be changed to S0390? Anyone with any insight would be great.
  2. K

    Wiki Non-Asterisk systemic diagnosis Denials

    Hello, I understand that in the CMS A52996 Routine Foot Care reference, the systemic ICDs with the asterisk (*) indicates that a managing provider and an approximate date last seen for the condition is required. I initially thought that the ones WITHOUT the asterisk, for example, I73.9...
  3. K

    Wiki E/M when Criteria not met?

    If a patient comes in, but they don't meet the criteria to bill for routine foot care procedures (i.e. nail debridement, callus removal, etc.), can I still bill out an office E/M (i.e 99212) since the patient was still seen and examined and was educated on their diabetes status and what to look...
  4. 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...
  5. H

    Wiki Trimming vs. Debridement

    Our physician says she is debriding dystrophic nails and trimming non dystrophic nails at the same visit. She says she was told to bill 11719 & G0217 together each time for these services. What is the correct coding for this service?
Top