Wiki Buckeye Mycare Ohio-Podiatry Billing

[Dot99cd]

We are having trouble getting podiatry claims paid by Buckeye Mycare Ohio. The denials are for bundling.
For example, the doctor billed:
E/M- 25
11730-toe mod
11732- toe mod
11721- Qmod and 59

All LOS pay except for the debridement, and it comes back bundled. Does anyone have any suggestions?

Thanks in advance

 

[lstanigawa]

Podiatry

This is because if you look at NCCI edits CPT 11721 is not a separate billable service when billed with CPT 11730.