08/08/2024
Does NY Medicaid pay the Medicare co-payment for diabetic shoes and inserts?
Does NY Medicaid pay the Medicare co-payment for diabetic
shoes and inserts? What is the proper format for billing bilateral x-rays to Medicare?
There are two questions asked here.
1. Does NY Medicaid pay the Medicare co-payment for diabetic shoes and insert |
This answer can differ from provider to provider based on your provider agreement with Medicaid. This answer may not be the same for all members so we cannot provide an umbrella answer to this that applies to all members. Different providers may have different contractual agreements with payers. This answer can likely be found in your Medicaid provider agreement.
2. What is the proper format for billing bilateral x-rays to Medicare? |
If you meant to ask the proper format for coding bilateral x-rays of the feet where 3 views or more are taken of each foot, the answer is to list CPT® 73630 on two lines of the claim form with a RT Modifier appended to one and a LT Modifier appended to the other with a 59 Modifier also appended to one of those two lines.
Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA
Lehrman Consulting LLC