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You are a specialist. Why would you hire a billing company that does not know your business or specialty? We have a board of Insurance Experts, Doctors and Accountants. Not only does our team collectively boast over 100 years of insurance billing experience, but we are constantly updating our staff on the latest podiatry-specific insurance contract codes and modifiers to use for optimum reimbursement.
Meet Dr. Douglas Stoker
You have most likely already seen or heard of Dr Stoker. A podiatrist since 1974, Dr. Stoker lectures frequently for the American College of Foot and Ankle Surgeons. His unmatched credentials include department-head, chief-of-staff positions at respected hospitals, service as chair of several national committees on podiatric medicine, and medical consultant to a number of insurance carriers. Dr Stoker has a wealth of experience in understanding all aspects of Podiatry Practice as well as the Health Insurance Industry.
Dr Stoker advises Podiatrists on how to optimize their insurance contract, and shares his insight into the Insurance Industry with us. Look out for his monthly tips.
2011 Coding Changes
Beginning 01-01-2011, procedure codes 11040- debridement of skin, partial thickness and 11041- debridement of skin, full thickness have been deleted. To report debridement of skin, partial or full thickness, bill procedure code 97597- debridement of wound, total surface area, first 20sq cm. If more than 20sq cm are debrided, use procedure code 97598 for each additional 20 sq cm. The definition of procedure codes 11042, 11043 and 11044 has been changed as follows: 11042- debridement down to and including subcutaneous tissue, total area, 20sq cm or less (if more than 20 sq cm of subcutaneous tissue is debrided, a new code 11045 should be reported for each additional 20sq cm), 11043- debridement down to and including muscle and/or fascia, total area, 20 sq cm or less (if more than 20 sq cm of muscle/fascia is debrided, a new code 11046 should be reported for each additional 20 sq cm), 11044 – debridement down to and including bone, total area, 20sq.cm or less (if more than 20sq cm of bone is debrided, a new code 11047 should be reported for each additional 20 sq cm). Keep in mind that the coding is base on the area debrided – not the size of the wound. Also if you debride two areas to two different depths (for instance, one area down to and including subcutaneous tissue (11042) and another area down to and including bone (11044), both procedure code may be billed.
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