Podiatry Coding & Billing Alert
Discover Skin CPT® Biopsy, Dx Codes
Question: We were frequently billing the old punch biopsy code 11110 with ICD-10 code G62.9. Now, when we bill the new punch biopsy code 11104 with G62.9, Medicare, denies the claim based upon the diagnosis. As far as we can tell, there are no “G” diagnosis codes acceptable for this new skin biopsy code. Many of the patients are diabetic. Can you help us? North Carolina Subscriber Answer: Code G62.9 (Polyneuropathy, unspecified) represents unspecified polyneuropathy, and 11104 (Punch biopsy of skin (including simple closure, when performed); single lesion) needs a more specific diagnosis code of the underlying cause such as codes E08.4- (Diabetes mellitus due to underlying condition with neurological complications) through E08.49- (Diabetes mellitus due to underlying condition with other diabetic neurological complication). Although these codes would only apply if the patient is a diabetic. You should definitely talk to your physicians and make sure they include any symptoms the patients are experiencing in the documentation.
Related Articles
Podiatry Coding & Billing Alert
- CPT®:
Highlighting Location, Graft Type Will Help You Submit Skin Substitute Graft Claims With Confidence
Be careful when reporting multiple wounds. The podiatrist placed a skin substitute graft on the [...] - Mythbuster:
Boost Your Diabetic Shoe Skills By Busting 3 Myths About Provider Roles
Don’t miss: The certifying physician can only be an M.D. or a D.O. Navigating diabetic [...] - CPT®:
5 Tips Will Attack Calcaneal and Talus Fracture Repair Errors Before They Happen
If coding for fracture and E/M combo visit, don’t forget modifier 57. Do you know [...] - You Be the Coder:
Focus on This Bunionectomy Code
Question: The podiatrist made an incision in the patient’s foot over the target area. He [...] - Reader Question:
Discover Skin CPT® Biopsy, Dx Codes
Question: We were frequently billing the old punch biopsy code 11110 with ICD-10 code G62.9. [...] - Reader Question:
Trample Those Inpatient Initial Care Codes Mistakes
Question: Are we allowed to report codes 99221-99223 more than once in the same day [...] - Reader Question:
Report 28003 for Multiple Bursal Spaces
Question: The provider made an incision in the patient’s skin and the fascia in his [...] - Reader Question:
Don't Append Modifier 24 In This Case
Question: I’m new to coding, and I’m still trying to understand some CPT® modifiers. Can [...] - Reader Question:
Turn To These CPT®, Dx Codes For Calcaneal Fracture
Question: The patient fell and sustained a displaced fracture of the anterior process of his [...]
