Coding > Coding

Podiatry Care/EM code

(1/2) > >>

djk:
Can you bill Medicare for a E/M visit (99213) along with a debridement of nails (11721)???

Merry:
My gut says no and of course the dx has to support the medical necessity such as diabetes.
Podiatric billers.. Weigh in please.

Merry

kristin:
So long as the EM is significant and separately identifiable from the nail debridement, yes. If the EM was just to assess the nails and decide to do the debridement, no. That is built into the 11721 already.

djk:
That is what i thought just want to check thanks for your help

jennifer8055:
as long as the e/m is for something more than just the debridement (proven by the dr's office note) - you can bill e/m w/the 11721 and add a -25 modifier to the e/m code

Navigation

[0] Message Index

[#] Next page