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tci Part B Insider - 2005 Issue 41
PODIATRY: Brush Up On Your Medicare Modifier Knowledge
Clear up confusion about what situations require 57 and 25Medicare provides specific instructions on how to append modifiers 57 and 25. If you're not sure which is appropriate for certain podiatry services, check out the scenarios below to get your feet firmly planted on correct coding ground. Scenario #1: After having an accident with a lawnmower, an established patient goes to the podiatrist's office thinking he only has a laceration on his right great toe. After evaluation, the doctor schedules a toe amputation (28820, Amputation, toe; metatarsophalangeal joint) to be performed the following day. What to do: You can...
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