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Coding
“At Risk, Routine Foot Care” vs Non-Covered Routine Foot Care
“Can a dystrophic nail trim be coded without using Routine Foot Care rules?
For example, there is a patient with dementia whose dystrophic nails had grown so long that they were causing pain. The patient would only allow a professional to trim them. The nails were documented as dystrophic rather than fungal, so we couldn't bill 11721. The patient also had no systemic conditions. The podiatrist billed G0127 and 99203. What are your thoughts on using G0127 or a similar code in this situation? An Advanced Beneficiary Notice of Non-Coverage (ie. ABN) was not obtained.”
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FDA Recalls
Coding
Billing an E/M Service with a Procedure Proper Use of the 25 Modifier
“I'm in PA, and this is an 80-year-old patient..... Cigna denied both charges stating the diagnosis codes do not support the procedure (as per what my billing company told me). This was before we were notified that notes must be sent in with all Cigna claims where an E&M is billed with a procedure.
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MIPS
FDA Recalls
Coding
DME Coding Postoperative Shoe
“I am looking for clarification regarding dispensing a post-operative shoe in conjunction with performing a surgery (days before surgery, day of surgery or days following surgery). Can we have patients pay out of pocket for the device? Does the payer, Medicare or commercial carriers, factor into the rules?”
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