Podiatry Coding & Billing Alert

Question: I'm reporting G0127 and CPT 11055 on the same claim. Should I use any modifiers?

Virginia Subscriber

Answer: You should in most cases when billing G0127 (Trimming of dystrophic nails, any number) and 11055 (Paring or cutting of benign hyperkeratotic lesion [e.g., corn or callus]; single lesion) for covered routine foot care. If the patient has a peripheral vascular, metabolic, or neurological disease, you would normally report these procedures and document the patient's class findings by appending modifiers Q7 (One class A finding), Q8 (Two class B findings) or Q9 (One class B and two class C findings) to the CPT codes.

Tip: Since not all Medicare carriers use the Q modifiers, you should first check with your local carrier's policy before billing them.