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Wiki Medicare denial for 110.1

Thread starter jeaner54175@yahoo.com
Start date Nov 13, 2014

Create Wiki

jeaner54175@yahoo.com

Networker

Nov 13, 2014

I'm hoping someone can help me with this denial. A patient came in with a complaint that his great toe was giving him pain and wanted the nail removed. The provider examined the foot and said the patient needed to be referred out to podiatry; nothing else was done at the visit. The provider coded the visit 99213 and used 110.1. Medicare states that the diagnosis is not covered. Does anyone have any suggestions.

Thank you,
Lisa Nieft, CPC-A

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