Common Foot Condition Coding Update
Common Foot Condition Coding Update
Paul Kesselman, DPM
1
Routine Foot Care and Debridement of Nails Coverage Issues Based on NGS (L33636)
2
"Medicare generally does not cover routine foot care".... with the following exceptions....
3
Exceptions One of Three Ways (Choose 1 Per
Patient)
Systemic Disease
& Vascular Class Findings
So Ca. Symptomatic Hyperkeratosis Policy
Onychomycosis, Onychogryphosis, or Onychauxis
AND
Pain, Marked Limitation of Ambulation, or Secondary Infection
Peripheral Neuropathy
With
Group 4 Diagnosis
Anticoagulant Drugs
Varies by Carrier
4
Systemic Disease + Class Findings
? List of 205 Systemic Diagnoses in Group 1
5
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