Wiki Medicare and Routine Foot Care

[gailgordon314]

Please help.

I am having the dickens of a time getting Routine Foot care covered. Medicare either pays for the 11721 OR they pay for 11056 never both together.

It used to be that each code was reimbursable but I have been stumped as to why I cannot get these two codes paid together.

I've read and re-read the LCDs and have spoken to Medicare CS. Anyone else struggling with this or can point me in the right direction?

Thank you so much.

 

[andersont]

I have found for 11055 there are certain primary (701.1) and secondary dx codes (vascular code) that have to be used and also Q8 modifier.

 

[espressoguy]

Per LCD 24374, the only 3 diagnosis codes that are payable are 700, 701.1 or 757.39.

In addition, either 686.9 or 729.5 must also be included.

 

[gailgordon314]

Thank you everyone for the quick responses.