DecisionHealth, DecisionHealth - 2022 Issue 9 (September)

Check state scope laws on who may debride mycotic nails to ensure Medicare compliance

Question: I would like clarification on whether only MDs, DPMs, APRNs, or PAs are allowed to perform and bill Medicare for debridement of mycotic nails (codes 11720 and 11721) in the office setting, when all the other criteria for the procedures have been met. Recently, I have been asked about a nail technician or medical assistant performing these procedures under supervision of a MD or DPM and billing the services to Medicare as incident to. I have found no information to suggest that this is appropriate. Am I correct in stating that nail technicians or medical assistants are not qualified to perform this service?

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