AAPC - Back to school
Results 1 to 5 of 5

Thread: 11719-Q8 and 11720-59 Medicare

  1. #1

    Angry 11719-Q8 and 11720-59 Medicare

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Madison, Wisconsin


    What dx are you using on each? They are payable with a 59 on the 11720.

  3. #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. #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.

Similar Threads

  1. Codes 11719 and 11720 or 11721
    By aschaeve in forum Podiatry
    Replies: 7
    Last Post: 03-09-2016, 12:54 PM
  2. Medicare coverage for 11720
    By LaVoncye in forum Podiatry
    Replies: 1
    Last Post: 09-23-2015, 04:06 PM
  3. 11719 Vs G0127
    By cnramsey in forum Medicare Regulations
    Replies: 0
    Last Post: 05-15-2012, 05:45 PM
  4. 11719-Q8 and 11720-59 Medicare
    By bentley1500@yahoo.com in forum Podiatry
    Replies: 0
    Last Post: 06-16-2011, 06:36 AM
  5. Podiatry Billing 11719 and 11720-59 help
    By bentley1500@yahoo.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-14-2011, 06:11 AM

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?


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.