Wiki Podiatry Services

[mv0129]

Good afternoon,

When billing CPT 11055-11056 along w 11720-11721 to Medicare and/or Medicare replacements plans and the patient presents with fungal nails (onychomycosis B35.1) is it a requirement for documentation of the anti-fungal treatment.
Thanks MV

 

[EditaPetrosyan]

• The provider of the service(s) must document the affected nail(s), including the clinical evidence of mycosis, and the manner in which and to what extent the nail(s) were debrided. Use of appropriate anti-fungal treatment or the contraindication of such treatment must also be documented. In addition, a description of the qualifying symptoms for debridement of toenail(s) must be documented.