Billing

Routine Foot Care, which includes trimming or debridement of the asymptomatic, dystrophic, mycotic, or normal toenails are covered by Medicare only when the patient has one of the Medicare-specified systemic diseases with clinically significant peripheral complications placing the patient “At Risk” for infection and/or injury if a non-professional attempts to trim or debride the nail.

“If orthotics are not covered by Medicare, if the KX modifier is appended to L3000-RT and L3000-LT, I am getting paid. Is it wrong to use the KX modifier to get paid for orthotics?”

What is the difference between an asterisk and a non-asterisk systemic disease with respect to “At Risk,” Routine Foot Care?

Updates Regarding CPT codes 11730 and 11750

What is one to do when a patient wants a claim to be resubmitted after her deductible is met when the claim was originally submitted prior to the deductible being met?

What are the guidelines/rules for billing an E/M service based upon total time?

Proper Use of the 59 Modifier

What are the Proper Ways to Use the 25 Modifier?

What is the Active Care Requirement regarding “At Risk, Routine Foot Care?

Minor Surgery: Any CPT code that has a Global Period of “0” or “10” days is classified as a Minor Surgical Procedure. Major Surgery: Any CPT code that has a Global Period of “90” days is classified as a Major Surgical Procedure.