• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Modifier for 11720

jdrueppel

Expert
Messages
435
Location
Lincoln, NE
Best answers
0
My local Medicare carrier has a LCD regarding these codes. Dependent on the diagnosis it may be necesary to add the Q7, Q8 or Q9 modifier. If you are having payment issues check your local carriers LCD. This is not my specialty and, of course, you would not be billing both of these codes on the same patient at same setting.

Julie, CPC
 

belindapearl

Networker
Messages
48
Location
POPLAR BLUFF, MO
Best answers
0
I am in the J Mac 5 jursidictation and all we need is the diagnosis 110.1 for onychomycosis. Make sure your documenation fits for this diagnosis they do check at least once a year. In the past we not only had to have the Q modifiers they also required the doctor treating the diabetes and the date that was last seen.
 

oh207

Guest
Messages
10
Best answers
0
We are in the J13 jurisdiction National Government Services, and the LCD states that the 110.1 must be submitted with a secondary diagnosis eg, pain in limb or abnormality of gait. The Q modifiers we would use if the patient had diabetes also, but do you know if they require the T modifiers if the patient does not have diabetes but has one of the additional diagnoses? Thanks for your reply.
 
Top