Podiatry Coding & Billing Alert
'Unlisted' best for hallux limitus and arthroplasty
Question: Virginia Subscriber Answer: Your best option is to report 28899 (Unlisted procedure, foot or toes). When you determine a comparison code for the most accurate reimbursement, compare the unlisted code 28899 to 28289 (Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint) or 28293 (Correction, hallux valgus [bunion], with or without sesamoidectomy; resection of joint with implant) when submitting your claim. -- Answers to Reader Questions and You Be the Coder were provided by podiatrists Arnold S. Beresh, DPM, CPC, and Richard Odom, DPM, CPC.
Podiatry Coding & Billing Alert
- Don't get nervous over using plantar digital nerve codes
Keep these 4 tips in mind for successful claims every time. CPT 2009 introduced two [...] - Medicare might pay for mycotic nail debridement
Know frequency limitations for CPT 11720 and CPT 11721 . If Medicare [...] - Follow carrier's lead for G0247 usage:
Extra guidelines apply if you don't submit 11720 or 11721. When you prepare claims for [...] - You be the coder:
Billing office visit before admission
Question: Our podiatrist saw a patient for a wound care visit and documented the need [...] - Reader Questions:
Use judgment for nursing home nail treatment
Question: Our podiatrist treats many nursing home patients. One has foot pain and all her nails [...] - Reader Questions:
Coding certain conditions requires PCP info
Question: When we see a patient for CPT 11055 and/or CPT 11720, do [...] - Reader Questions:
Watch T modifiers with hammertoe correction
Question: When coding multiple hammertoe correction, should I submit 28285 with the appropriate modifiers for [...] - Reader Questions:
Verify if carrier allows 99304 for podiatrist
Question: Is 99307 the correct code for a nursing home consult? Our podiatrist has seen [...] - Reader Questions:
11730 includes all or part of the nail
Question: A patient came to our office with five ingrown toenails. Our physician completed simple [...] - Reader Questions:
Yes, CCI does allow 28110 with 28285
Question: What factors should we consider about billing 28110 with 28285? Wisconsin Subscriber Answer: CPT [...] - Reader Questions:
Yes, CCI does allow 28110 with 28285
Question: What factors should we consider about billing 28110 with 28285? Wisconsin Subscriber Answer: CPT [...] - Reader Questions:
Check Criteria Before Coding Consult
Question: A new patient came to our office with pain in his foot. We performed [...] - Reader Questions:
Document for multiple units of 20680
Question: The podiatrist removed screws from two separate incisions on a patient. Medicare denied the [...] - Reader Questions:
'Unlisted' best for hallux limitus and arthroplasty
Question: Our podiatrist performed a joint replacement for hallux limitus and thinks we should report [...]
