Billing and Coding: Routine Foot Care - R6 - Effective October 1, 2021

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).

Effective Date: October1, 2021
Summary of Article: Asterisks added to I82.501-I82.503, I82.531-I82.533, and I82.591-I82.593 in Group 3, which were missed in previous updates per the Medicare Benefit Policy Manual, Chapter 15 Section 290 - Foot Care; subsection D-Systemic Conditions That Might Justify Coverage. Also moved the Primary diagnosis codes for the treatment of mycotic nails, or onychogryphosis, or onychauxis to the Group 5 Codes section and added a Group 6 Paragraph and Codes section for the covered secondary diagnosis.

The prior Revision History had an incorrect code and information. E41.0 should have been E08.41. Also, E08.41, E09.42 and N18.30-N18.6 were asterisked per the Medicare Benefit Policy Manual, Chapter 15 Section 290 - Foot Care; subsection D- Systemic Conditions That Might Justify Coverage. This manual section pre-dates this Local Coverage Article.

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            Last Updated Thu, 21 Oct 2021 12:28:36 +0000