Forum - Questions & Answers

May 19th, 2014 - cbs2014

podiatry billing

I keep getting a claim failed edit "the charge is within the global period for 11042, but has a modifier that may allow payment" when trying to bill 99213 with modifier 25 and secondary code 11042. DX used is 891.1, 459.81, 682.60 & 703.8. Is there another modifier I should use? New to podiatry billing...HELP!

May 21st, 2014 - Codapedia Editor 1,399 

re: podiatry billing

You need to look back and see what was done previously. Is the patient in a global period from a previous procedure?

May 21st, 2014 - Codapedia Editor 1,399 

re: podiatry billing

Also, have you downloaded the foot care guide from your Medicare contractor? If not, do that.



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