Wiki Codes 11719 and 11720 or 11721

[aschaeve]

Can 11719 and 11720 or 11721 be billed together? I a have a physician who insists that they can. But I know they are bundled in CCI. Can anyone help with supporting documentation if you can or cannot bill both codes together.

Thanks,

Alicia, CPC

 

[kvangoor]

I believe they are both payable on the same DOS. You would need the 59 modifier on the second procedure to show that it was a seperate service. I would check Medicare's LCD on routine foot care for the details.

 

[aschaeve]

Add the 59 modifier, even when it is bundled with a zero in CCI?

Alicia

 

[dbarreto]

Codes 11719, 11720-21

CPT 11719 cannot be billed with 11720-11721. 11719 applies when the nails are void of defects from nutritional or metabolic abnormalities. (in other words - healthy). 11720-11721 includes trimming and shaping of the nails as well as debridement. You would not bill 11719 and 11720-21 together. Mod 59 is also not appropriate.

 

[bmichel]

E&M and nail trimming

Can you bill an office E&M code and 11719 if the patient is seen multiple times a year for trimmings?

 

[MarciaH]

You can bill for an E&M for visits only if there is a significant and separate identifiable E&M service that is unrelated to the decision to perform the following procedures: 11719, 11720, 11721, or G0127.

 

[Podiatrybilling1]

bundling E&M CODE 99203 WITH 11721

What is the appropriate code to use with 99203 and 11721. How would i bill this correctly

 

[CodingKing]

What is the appropriate code to use with 99203 and 11721. How would i bill this correctly

If it meets the above "You can bill for an E&M for visits only if there is a significant and separate identifiable E&M service that is unrelated to the decision to perform the following procedures: 11719, 11720, 11721, or G0127. "

You would add modifier 25 to the E&M