tci Part B Insider - 2016 Issue 24

Nail Debridement Logs Appx. 50 Percent Error Rate

Despite its prevalence, nail debridement continues to be a source of coding confusion for Medicare providers nationwide. “Nail debridement is the single largest paid [podiatric] service,” said Palmetto GBA’s Cyndi Wellborn, RN, during a June 22 webinar and CBR on nail Debridement and E/M Services. Yet in the report, Palmetto GBA shows there is cause for concern since “22 percent of debridement services lack the proper documentation.” Background. The Palmetto GBA Railroad Review found that of the 25 services reviewed for CPT® code 11720 (Debridement of nail[s] by any method[s]; 1 to 5) that...

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