Wiki Podiatry provider coding a Post Op for an office visit

[schaunarae]

Hello! So i am coding for a Podiatry provider and he keeps charging a 99024 with custom orthotics L3020-LT L3020-RT. This patient never had surgery, it should be an office visit. Shes a regular patient here, this is a follow up visit. I asked his nurse why he keeps doing this and she said its because the orthotics are expensive so he puts the 99024 code on (basically 0$ charge). Im just looking for advice in this situation!? He can't be doing this, correct??

 

[gsharf]

There is few insurance cover's orthotic otherwise it's self pay

 

[Orthocoderpgu]

No, your provider should not be doing this. It's a form of under coding. This could be seen as an "enticement" to go to your provider for this service rather than another provider who would bill the E/M. I know your doctor's heart is in the right place, but...