BHCM
New
I have a podiatrist that consistently bills 11055/56 w/11721 for his Medicare patients. I have not been able to get Medicare to pay for the 11055/56 no matter how I code them. I continually get a denial for modifier invalid or missing. My understanding is that it should be coded this way:
11055 -Q9 (RT, LT or 50)
DX: 110.1, 703.8, 440.22(or 250...)
11721 - 59,Q9
DX: 110.1, 703.8, 440.22 (or 250...)
Medicare will pay the 11721 but deny the 11055 every single time.
What am I missing? Do I need to use 729.5 also? Is it the RT, LT, 50 modifiers that are incorrect?
Any help would be much appreciated. **Note, our Medicare does not list 700 as a payable dx for the 11055 in the LCD
11055 -Q9 (RT, LT or 50)
DX: 110.1, 703.8, 440.22(or 250...)
11721 - 59,Q9
DX: 110.1, 703.8, 440.22 (or 250...)
Medicare will pay the 11721 but deny the 11055 every single time.
What am I missing? Do I need to use 729.5 also? Is it the RT, LT, 50 modifiers that are incorrect?
Any help would be much appreciated. **Note, our Medicare does not list 700 as a payable dx for the 11055 in the LCD