Billing and Coding: Routine Foot Care (A57954) R9 - Effective June 19, 2022

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: June 19, 2022

Summary of Article Changes: Deleted the unspecified diagnosis codes L90.9, L91.9 & Q81.9 because there are more specific diagnosis codes to bill listed. Asterisked L84 and L98. And added the statement "*L84, L98.7 and L60.8 are non-covered diagnosis codes and will be denied when billed with G0127" under the Group 1: medical Necessity ICD-10-CM Codes Asterisk Explanation. Added D60.0, D68.1, D68.2, D68.311, D68.312, D68.318, D68.32, D68.4, D70.1 and D70.2 in Group 4 of the ICD-10 Codes that Support Medical Necessity.

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of locally hosted coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.

 

Last Updated May 05 , 2022