Nail Debridement for Hospice Patient

jerrypratt

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We bill for a podiatrist who sees patients in various nursing facilities. Among those patients are some in hospice. For a diabetic Medicare patient we are coding a 11720 or 11721 with the Q-modifier, GW modifier, PCP and date last seen by PCP.

Medicare is flatly denying all of our nail debridements for hospice patients. Any help would be greatly appreciated!!
 

msr1984

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the dx order has to be 110.1, 250.60 or 250.70 for the 11721-Q?GW

i know for Palmetto, the prim dx has to come from list A and secondary dx from list B in order to for the claim to be medically necessary. The dx order linkage on podiatry is extremely important
 
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