Billing > Facility Billing
Billing 11721 with 11055 or 11056
djk:
Medicare is bundling these codes and shouldn't be. Any suggestions on how they should be billed.
Merry:
I am not a coder but since these are podiatric codes, Medicare only pays under certain circumstances.. Relating to certain diagnoses such as diabetes, peripheral neuropathy etc. I would check the guidelines on your MAC site.
kristin:
I bill for six podiatrists in four different MAC's, and each of those MAC's will only pay if each code has a 59 modifier on it. This is in addition to have proper dx's, Q modifiers if needed, and LDS if needed.
djk:
I have tried to bill with the Modifer 59 and it was denied for invalid modifier.
Michele:
It's really hard to tell without all of the info in front of us. We don't know dx's, dx pointers for each code, and any modifiers billed.
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