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Q: Medicare billing ( No Answer,   2 Comments )
Question  
Subject: Medicare billing
Category: Health
Asked by: einthoven-ga
List Price: $15.00
Posted: 18 Feb 2006 05:46 PST
Expires: 20 Mar 2006 05:46 PST
Question ID: 447261
What is the ICD code and Medicare allowed fee for surgical debridement
of onychomycotic nails by a podiatrist in a long term care facility?
Answer  
There is no answer at this time.

Comments  
Subject: Re: Medicare billing
From: voila-ga on 19 Feb 2006 10:56 PST
 
Hello Einthoven,

I?m assuming you want a CPT code, rather than an ICD-9 diagnostic
code, but here are some links to both and some accompanying info on
Q-codes"

http://www.acpmr.org/mycotic.htm
http://www.accucoder.com/CPT/CPT%2011721.htm
http://www.medicaleconomics.com/memag/article/articleDetail.jsp?id=111571
http://www.podiatrytoday.com/article/3037
http://www.dermatologytimes.com/dermatologytimes/article/articleDetail.jsp?id=157696


From the AMA site entering ?New York? 
$48.15*
$36.61**

Entering ?Arkansas?
35.62*
$28.30**

**Facility: Includes hospitals (inpatient, outpatient, and emergency
department), ambulatory surgical centers (ASCs), and skilled nursing
facilities (SNFs).
*Non Facility: Includes all other settings. 

This is a bit of sticky-wicket question involving medical necessity
and the degree of onychomycosis-ness of the nails, so I?d probably
refer you to a professional coder in your area for expert advice.

Best of luck! 
?V?
Subject: Re: Medicare billing
From: sexanswers-ga on 20 Feb 2006 20:46 PST
 
The NIH NLM data base can be quite helpful.
www.sexualmedicineclinic.ca
MS

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