I've been asked by a team-mate if I would submit an inquiry to the forum for help on a recurring coding issue. I'm NOT a podiatry coder yet know this is the place to come for help. She has furnished this information to me: Is there anyone out here who would be available for her to contact you?
Washington State Medicare patientt (Noridian). I cannot get these two codes paid together:
11056 and 11721 or
11055 and 11721
billing as follows:
11055 757.39 729.5
11721-59 110.1 719.7
Medicare is denying the 11055 (or 11056) as not medically necessary. I tried to rebill the 11055 with 703.8, also denied. 11721 is paying. According to the LCD these codes should pay with these dx, without a Q modifier or PCP info
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