Policy Definition
Podiatry specializes in conditions and function of the foot and ankle in health and disease. It includes examination,
diagnosis and treatment by medical and surgical methods.
Code Description Comments
10060–10061 Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia)
11055–11057 Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus)
11719 Trimming of non-dystrophic nails, any number
11720–11721 Debridement of nail(s) by any method(s)
11730–11732 Avulsion of nail plate, partial or complete, simple
11750–11752 Excision of nail and nail matrix, partial or complete (e.g., ingrown or deformed nail) for permanent removal
11755 Biopsy of nail unit (e.g., plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)
11760 Repair of nail bed
11765 Wedge excision of skin of nail fold (e.g., for ingrown toenail)
28890 Extracorporeal shock wave therapy; including ultrasound guidance, involving plantar fascia Not reimbursed
A9999, E1399 Miscellaneous DME supply or accessory Authorization is required
G0127 Trimming of dystrophic nail, any number
G0247 Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LO PS) to include, the local care of superficial wounds (i.e., superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails
Durable medical equipment (DME ) medical billing. How to do billing for Medicare and what equipment covered by Medicare. DME Modifiers and CPT codes.
Sunday, June 5, 2016
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