tci Part B Insider - 2014 Issue 9

Part B Coding Coach: Secure Nail Care Pay With This Expert Advice

Don’t forget to use modifiers and appropriate diagnosis codes to prevent denial. While routine nail care reporting might seem easy, the difference between getting paid for the procedure and denials is a thin line. You can enjoy reporting success by understanding coverage guidelines and what to look for in the supporting patient documentation. Observe Coverage Criteria For Routine Nail Care Medicare will not provide coverage for routine nail care such as clipping, trimming, or debridement of nails (including trimming of mycotic nails). But you can report routine nail care separately if the patient has a systemic condition, such...

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