Results 1 to 9 of 9

Podiatry-Dr. does a debridement

  1. Default Podiatry-Dr. does a debridement
    Medical Coding Books
    Help! Dr. does a debridement on both feet. CPT code 11721 with modifier-59? Or does 11721 already say it's for 2 feet?

    Thanks for any help!

    CORRECTION: 11721 and 11055 when both are done on the same day, modifier -59 is used as per the CCI edits.

    Thanks to all who answered and chimed in! Greatly appreciated.

  2. Default
    The code, itself, indicates both feet.
    ~Ursula, CPC~

  3. Default
    In the past, the biller coded it with mod-59 and it was paid. But the correct way is by itself with no modifier?

  4. Default
    Well, it may need the -59 modifier depending on what other services are performed (if the combination is listed on the NCCI edits)

    But, if it's the only 'procedure' being performed - you don't need the -59. You may also need a Q modifier, if the LCD indicates that the systemic condition needs it.
    ~Ursula, CPC~

  5. Talking
    I've been looking for the CCI edits on mcr website and the lcd coverage, but cannot find it. I worked with it before but can't remember.

    Sorry about all the questions, but you have been very helpful and it's greatly appreciated.

    Thanks
    Margaret

  6. #6
    Location
    High Point, NC
    Posts
    84
    Default
    Here are a few links on the MCR website for Podiatry Services and Routine Footcare. These are very helpful.

    http://www.cms.hhs.gov/transmittals/...ads/B02091.pdf
    http://www.cms.hhs.gov/MLNMattersArt...ads/SE0707.pdf

    Hope it helps!
    Cindy Gallimore, CPC, CENTC

  7. Default
    And the CCI edits can be found at:

    http://www.cms.hhs.gov/NationalCorre....asp#TopOfPage
    ~Ursula, CPC~

  8. #8
    Location
    Flint, Michigan
    Posts
    65
    Default
    I work for 3 podiatrists and I've never used a mod -59 with 11721.

  9. #9
    Default
    Using a 59 modifier would be correct to show that the 11721 was a distinct procedural service from a different procedure. I believe you are mistaking the 59 modifier with the 50 modifier for bilateral procedure. Now if your podiatrist is only debriding 1 to 5 nails then procedure 11720 then.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

Similar Threads

  1. Podiatry Billing - New to Podiatry All together
    By KimberlyDiazR in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-17-2015, 08:10 AM
  2. Podiatry; Please Help
    By Sara82 in forum Orthopaedics
    Replies: 2
    Last Post: 02-29-2012, 08:39 AM
  3. Podiatry-I have billed code
    By TCARBINO in forum Podiatry
    Replies: 1
    Last Post: 08-24-2009, 05:00 PM
  4. Help with podiatry
    By TCARBINO in forum Podiatry
    Replies: 3
    Last Post: 08-20-2009, 06:10 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.