Wiki Codes 11719 and 11720 or 11721

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aschaeve

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Can 11719 and 11720 or 11721 be billed together? I a have a physician who insists that they can. But I know they are bundled in CCI. Can anyone help with supporting documentation if you can or cannot bill both codes together.

Thanks,

Alicia, CPC
 
I believe they are both payable on the same DOS. You would need the 59 modifier on the second procedure to show that it was a seperate service. I would check Medicare's LCD on routine foot care for the details.
 
Codes 11719, 11720-21

CPT 11719 cannot be billed with 11720-11721. 11719 applies when the nails are void of defects from nutritional or metabolic abnormalities. (in other words - healthy). 11720-11721 includes trimming and shaping of the nails as well as debridement. You would not bill 11719 and 11720-21 together. Mod 59 is also not appropriate.
 
E&M and nail trimming

Can you bill an office E&M code and 11719 if the patient is seen multiple times a year for trimmings?
 
You can bill for an E&M for visits only if there is a significant and separate identifiable E&M service that is unrelated to the decision to perform the following procedures: 11719, 11720, 11721, or G0127.
 
bundling E&M CODE 99203 WITH 11721

What is the appropriate code to use with 99203 and 11721. How would i bill this correctly
 
Podiatrybilling1 said:
What is the appropriate code to use with 99203 and 11721. How would i bill this correctly
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If it meets the above "You can bill for an E&M for visits only if there is a significant and separate identifiable E&M service that is unrelated to the decision to perform the following procedures: 11719, 11720, 11721, or G0127. "

You would add modifier 25 to the E&M
 
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