Billing and Coding: Routine Foot Care - R2

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 29, 2020
Summary of Article: The following updates were made to this article.

  • Under the ICD-10 Codes that Support Medical Necessity Group 1 Paragraph, added the word 'painful' to the following statement "(For treatment of painful mycotic nails, or onychogryphosis, or onychauxis, see Group 5)."
  • Clarified the timeframe the patient must have seen their treating physician for the asterisked DX code in the ICD-10 Codes that Support Medical Necessity Group 2, 3 and 4 sections.
  • Added MLN Matters® Number: SE1113 and the SSA 1833(e) reference to the CMS National Coverage Policy section.

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            Last Updated Mon, 13 Jul 2020 17:47:03 +0000