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Nursing Home

Routine Foot Care in Nursing Homes
Coding

Routine Foot Care in Nursing Homes

by Michael Warshaw, DPM, CPC

Do I need to have a referral to provide Routine Foot Care to a patient in a Nursing Home?
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Place of Service Code 31 vs Place of Service Code 32
Coding

Place of Service Code 31 vs Place of Service Code 32

by Michael Warshaw, DPM, CPC

Place of Service Code 31 vs Place of Service Code 32
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Coding

Clarification on Nursing Home Billing

by Dr. Michael Warshaw, DPM, CPC

“In a nursing home, if you are rendering a service where the E/M is a systemic condition and separately identifiable, can you bill the E/M code and the procedure? I believe you cannot. My biller and a webinar speaker both feel that you can. Their thought is that as long as you have different diagnoses for the office/nursing home visit and routine foot care, it will be allowable. For example, you could bill E/M 99307, CPT 11056, and CPT 11721 and the diagnosis codes are G20 (Parkinsons), L84 (corns and calluses), I73.89 (PVD), B35.1 (mycotic nails), M79.674 and M79.675 (pain toes). I would put the G20 on the E/M 99307, L84 and I73.89 on CPT 11056 and B35.1 and M79.674, M79.675 on CPT 11721. Any thoughts on this issue would be helpful.”
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