tci Part B Insider - 2015 Issue 36
Reader Question: Use Appropriate Policy to Justify Modifier 59 Usage
Question: I have a Medicare patient that keeps coming back to see the doctor for treatment of a corn. The note indicates that the corn is painful and the patient is diabetic; however, there are no diabetic manifestations marked in the progress note. The note indicates that the corn was shaved with a scalpel and then cryo done on the left foot. He also performed a debridement of four nails on the right foot. What code should I use for the paring/cutting of the corn and the cryo? In another case, he performed trimming of nails (2) and debridement...
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