Wiki 11719-Q8 and 11720-59 Medicare

[Jax]

Can someone help me? I seem to have lost my mind I am billing for a podiatrist and billing 11719-Q8 and 11720-59 . Medicare paid the 11720 and is now doing a retraction because its inclusive to 11719. According to the CCI Edits I can bill both with the 59 Modifier on the 11720. I'm so lost please help. I'm thinking when Medicare splits the claim they are removing the 59 modifier and then doing the take back?

 

[twoerpel]

What dx are you using on each? They are payable with a 59 on the 11720.

 

[mocbilling]

billing

I have a office call admin code 96372 and 11719and 11750 what modifers do I need to use?

 

[annamaria70]

You can bill 11719 and 11720 only if were done these procedures for different nails. For example, provider trimmed T1, T2 and debridement TA, T5.