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11/21/2023

Correct Billing for 11719, 11721 and 11056

AS MUTUALLY EXCLUSIVE !!!!] AETNA DENIED 11719 DOS 10/25/23 AS MUTUALLY EXCLUSIVE 11721-59 11056.-Q8,...,IS NOW GOOD 11720-59 11719-Q8.THIS LINE NOT PAID [AS MUTUALLY EXCLUSIVE !!!!]

CPT codes 11719 (nail trimming) and 11721 (nail debridement 6-10) should not be billed together as 11721 is already reimbursing for up to 10 nails and nail trimming would be considered bundled. If debriding (1-5) then the use of CPT 11720-59 may be billed with trimming CPT 11719.

 

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