03/12/2018

CPT Codes 11720 and/or 11721 with Diagnosis L60.2-Payable with Medicare (Q8 Class Findings)

ARE CPT CODES 11720 OR 11721 PAYABLE WITH DIAGNOSIS L60.2 IF PATIENT HAS Q8 CLASS FINDINGS WITH MEDICARE?

According to the current Medicare LCD policy for routine foot care, DX L60.2 is acceptable as a primary diagnosis for CPT codes 11720 or 11721. In order for the service to be covered by Medicare, in addition to the Q modifier, a covered secondary diagnosis would need to be billed, such as diabetes, PVD, etc.

Please see link below for LCD policy:

http://www.nyspma.org/aws/NYSPMA/asset_manager/get_file/161041?ver=3717