GW mod & callous debridement

PLillyJ57

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I am getting denials from Medicare for hospice related when I had the GW mod along with GP & 59. (GP,59,GW) I am also getttin a denial for DX code 700 w/CPT 11055 as not medically necessary. What's up any suggestions or insight?:mad:
 

dclark7

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Have you checked your MACs LCD for this code? 11055 is considered routine foot care which is not covered by Medicare except in specific situations. Check the LCD for your MAC to see if the patient meets the guidelines.
 

csheldon

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G0245 other code when submitting claims for a non-medicare.

Hello,

Does anyone can help me on what cpt code to use fordiabetic sensory neuropathy when billing a non-medicare insurance? We used G0245 when billing medicare.

Thanks!
 

csheldon

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G0245 other code when submitting claims for a non-medicare.

Hello,

Does anyone can help me on what cpt code to use fordiabetic sensory neuropathy when billing a non-medicare insurance? We used G0245 when billing medicare.

Thanks!:eek:
 
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