tci General Surgery Coding Alert - 2008 Issue 8

Reader Questions: Unna Boot Application Includes E/M

Question: Our surgeon recently applied an Unna boot for a patient with decubitus ulcers. I-ve never coded this service before. Can I report an E/M service in addition to the boot application? Washington Subscriber Answer: In most cases, you should not report an E/M service at the same time as an Unna boot application (29580, Strapping; Unna boot). A typical Medicare local coverage determination will specify, "Unless a separate and distinct service is performed other than CPT 29580, an E/M in addition to CPT 29580 is noncovered." If the patient has a new or different complaint that necessitates...

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