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11719-Q8 and 11720-59 Medicare

  1. Angry 11719-Q8 and 11720-59 Medicare
    Medical Coding Books
    Can someone help me? I seem to have lost my mind I am billing for a podiatrist and billing 11719-Q8 and 11720-59 . Medicare paid the 11720 and is now doing a retraction because its inclusive to 11719. According to the CCI Edits I can bill both with the 59 Modifier on the 11720. I'm so lost please help. I'm thinking when Medicare splits the claim they are removing the 59 modifier and then doing the take back?

  2. #2
    Madison, Wisconsin
    What dx are you using on each? They are payable with a 59 on the 11720.

  3. Default Question Regarding 11719
    My provider just came in asking question regarding this procedure. We are a family practice. He has a patient that has been going to her podiatrist for nail trimming. She has him trim her nails due to cerebral palsy with arm deficit. The patient is unable to trim her nails due to this. Her podiatrist told her today he can no longer trim her nails due to not getting paid for this procedure anymore. Could this be done in our office with the dx cerebral palsy? Or is there something else I should be using?


  4. Default billing
    I have a office call admin code 96372 and 11719and 11750 what modifers do I need to use?

  5. #5
    You can bill 11719 and 11720 only if were done these procedures for different nails. For example, provider trimmed T1, T2 and debridement TA, T5.

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