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Thousand Cranes » Blog Archive » Paring or Cutting Benign Hyperkeratotic Lesion: CPT Codes 11055-11057

 
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Paring or Cutting Benign Hyperkeratotic Lesion: CPT Codes 11055-11057
November 24th, 2008 by Anna

Paring or Cutting Benign Hyperkeratotic Lesion: CPT Codes 11055-11057

Contractor: Noridian Administrative Services (NAS)
Contractor Type: Medicare Part B, Arizona Jurisdiction

Effective for services performed on or after 10/01/2008

11055    Paring or cutting of benign hyperkeratotic lesion (e.g. corn or callus); single lesion
11056    Paring or cutting of benign hyperkeratotic lesion (e.g. corn or callus); 2 to 4 lesions
11057    Paring or cutting of benign hyperkeratotic lesion (e.g. corn or callus); more than 4 lesions

CPT Codes 11055, 11056 and 11057 are used when performing a paring or cutting approach to hyperkeratosis.  Any other approach to treating and managing hyperkeratosis is not addressed in this memo.  Medicare does not reimburse for routine foot care, therefore, CPT Codes 11055-11057 will only be reimbursed by Medicare if the treatment is medically necessary.

When reporting a claim using CPT Codes 11055-11057, two ICD-9-CM Codes must be used to qualify claim as payable through Medicare.

The first of the two ICD-9-CM Codes must be:

700         Corns and callosities
701.1      Keratoderma acquired
757.39    Other specified congenital anomalies of skin

The second ICD-9-CM Code must be one of the following:

686.9    Unspecified local infection of skin and subcutaneous tissue
729.5     Pain in limb

CPT codes, descriptions and other data only are copyright 2008 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

References:
Medicare Part B LCD L24374
http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=24374&lcd_version=6&show=all


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