08/13/2018

Proper Coding for Routine Foot Care

What is proper coding for routine foot care (nails and corns)?DX I73.89, L60.2, B35.1, M79.671, M79.672 CPT G0127, 11720, 11056 Where do modifiers go? And which lines do dx codes go with?

Below is how a routine foot care claim should be coded:

• 11056 should be the primary procedure
• Billed with Q modifier as the primary modifier
• Primary diagnosis would be I73.89
• 11720 would be the second procedure
• Billed with Modifier 59 as the primary modifier, Q Modifier secondary
• Diagnosis codes should be billed in the following order:
• B35.1, I73.89, M79.672, M79.671
• G0127 would be the third procedure
• Billed with Modifier 59 as the primary modifier, Q Modifier secondary
• Diagnosis codes should be billed in the following order:
• I73.89, L60.2

Because a systemic condition is being reported, the claim must also have a referring provider that is not the rendering provider and a DLS.