Wiki Laser for Toenail Fungus

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Texascoder64

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Is laser (nd-yag laser) billable for treatment of toenail fungus /dermatophytosis
My providers want to charge the destruction code 17110 due to description method of laser. icd-9 110.1 is not allowed on LCD for 17110 with my medicare carrier, but 686.8 is allowed for a local subcutaneous skin infection.
Is this appropriate?
 
CPT 17110 is laser destruction benign lesion. Toenail fungus is not a benign lesion but an infection. My thought is CPT 17999. I am not a fan of unlisted procedure codes. This maybe your only option.
Diagnosis 110.1 with a possible secondary condition (diabetes, cardiovascular) if present.
 
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