tci Part B Insider - 2009 Issue 35

PART B CODING COACH: Medicare Might Pay for Mycotic Nail Debridement

Know frequency limitations for CPT 11720 and CPT 11721 . If Medicare routinely denies claims you submit with 11720 or 11721, take heart: Many carriers actually cover debridement. Read on for simple ways to avoid denials and recoup your rightful  payment for "routine foot care." Follow Criteria for Procedure Codes When it's time to report mycotic nail debridement, you have three coding choices: • 11720 -- Debridement of nail(s) by any method(s); one to five • 11721 -- ... 6 or more • G0247 -- Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting...

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