podiatry billing

bdway91

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One of our podiatrist was told by another podiatrist effective October 1 2016 you need to put toe modifiers on code 11720 and 11721 also 11055-11057. Has anyone heard this?

example:
10061 t6xu
11721 q8xst5t6t7t8t9tat1t2t3t4
11056 q8 t5ta

Is this correct? We are only set up to supply 4 modifiers and so are the HCFA's.

Thanks,
Elizabeth
 
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One of our podiatrist was told by another podiatrist effective October 1 2016 you need to put toe modifiers on code 11720 and 11721 also 11055-11057. Has anyone heard this?

example:
10061 t6xu
11721 q8xst5t6t7t8t9tat1t2t3t4
11056 q8 t5ta

Is this correct? We are only set up to supply 4 modifiers and so are the HCFA's.

Thanks,
Elizabeth

First thing, generally speaking, if you have more than 4 modifiers, you use modifier 99 only and then in the remarks box on the claim form you indicate what modifiers are included in "99".

In your example, are all of these codes going out on one claim?
 

CodingKing

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I have not heard anything about toe modfiers being required for debridement of nails. Especially considering modern claim systems can support 6 modifiers on a line
 
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