Orthotics are supposed to be statutorily not covered by Medicare unless they are attached to a brace. I was told to just append the KX modifier to the codes that are being billed for orthotics and I will get paid. Is this true and is it right to do this? Can I get in trouble?
Is it appropriate to remove the core of a porokeratosis or a nucleated callus every month or two and bill it to the insurance company with CPT code 11305?