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Billing for Podiatry 99213 with 11721

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djk:
Thank you and the 59 modifer I only post that when i bill the 11721 and a 11055(11056) my mistake sorry.. I thought that you couldnt bill the 99213 with the 11721 but thought i would ask..

Medicare does cover debridement for nails if not diabetic as long as you can use the diagnosis for pain 729.5 and 110.1. just an FYI thanks to all for your input..

kristin:
Yes, most MAC's will cover the 11721 with just the 110.1 and 729.5 dx, if it fits the patient's particular need for the debridement.

You CAN bill the 99213 with the 11721...but it truly needs to be above and beyond the 11721 elements. I think in your case, because the provider is using the same dx's for both, it just won't cut it.

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