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Wiki debridement of nail

bbenton03

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Medicare has denied cpt 11720 for nail debridement. Any reason? Thank you in advance.
 
Nail debridement is considered routine foot care, which is a non-covered service.

Medicare will cover nail debridement if certain conditions exist. What was the diagnosis?
 
Sorry, since I code podiatry I just assumed it was a toenail :o

11720 is for 1-5 nails so they aren't looking for a finger modifier.

What's the reason for the denial? What is the medical necessity?

Edited to add: The CPT doesn't distinguish between fingernails and toenails, so Medicare wouldn't specifically know this was a fingernail. I wonder if the same guidelines apply?
 
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