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97022

Terry Posted Thu 23rd of February, 2012 13:03:09 PM

Please advise the billing of this code with a visit for a podiatrist to be paid. I am aware of the modifier for visit- but should there be one for 97022 and I am unable to find LCD with payable dx codes.

SuperCoder Answered Thu 23rd of February, 2012 19:43:54 PM

Terry, That's not a valid code. Please correct so we can help look up for you.

Best, Jen Godreau, CPC, CPEDC, CPMA

SuperCoder Answered Fri 24th of February, 2012 10:54:09 AM

Hi Terry,
Here are the links for your requirement, hope it may help.

Billing guideline:

http://www.aota.org/DocumentVault/Surveys/LCD-Outpatient.aspx?FT=.pdf
*****
CMS LCD link main page (just scroll down): http://www.cms.gov/medicare-coverage-database/search/search-results.aspx?CoverageSelection=Both&ArticleType=All&PolicyType=Final&s=Florida&CptHcpcsCode=97022&bc=gAAAAAAAAAAA&=&
*****

LCD ID L31542, Contractor Palmetto GBA (11004) page:

http://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=31542&ContrId=227&ver=23&ContrVer=1&CoverageSelection=Both&ArticleType=All&PolicyType=Final&s=Florida&CptHcpcsCode=97022&bc=gAAAABAAAAAA&
*****
Supercoder State and Contractor LCDs:
http://www.supercoder.com/code-lookup/cpt/codes/?code=97022
(check on right pane LCD, Slect Contractor Type-MAC-Part B, select state, click find on LCD)

SuperCoder Answered Fri 24th of February, 2012 11:11:20 AM

Hi, Terry, I did find the code today along with the LCDs for lots of states. Which one are you in? They are listed on http://www.supercoder.com/code-lookup/cpt/codes/?code=97022

Some of the states -- NY, Maine, don't list dxs, but Alabama does:

040.0Gas gangrene250.80Diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled250.81Diabetes with other specified manifestations, type i [juvenile type], not stated as uncontrolled250.82Diabetes with other specified manifestations, type ii or unspecified type, uncontrolled250.83Diabetes with other specified manifestations, type i [juvenile type], uncontrolled440.23Atherosclerosis of native arteries of the extremities with ulceration440.24Atherosclerosis of native arteries of the extremities with gangrene443.9Peripheral vascular disease unspecified454.0Varicose veins of lower extremities with ulcer454.1Varicose veins of lower extremities with inflammation454.2Varicose veins of lower extremities with ulcer and inflammation459.13Postphlebetic syndrome with ulcer and inflammation459.31Chronic venous hypertension with ulcer459.33Chronic venous hypertension with ulcer and inflammation566Abscess of anal and rectal regions680.0Carbuncle and furuncle of face680.1Carbuncle and furuncle of neck680.2Carbuncle and furuncle of trunk680.3Carbuncle and furuncle of upper arm and forearm680.4Carbuncle and furuncle of hand680.5Carbuncle and furuncle of buttock680.6Carbuncle and furuncle of leg except foot680.7Carbuncle and furuncle of foot680.8Carbuncle and furuncle of other specified sites680.9Carbuncle and furuncle of unspecified site681.00Unspecified cellulitis and abscess of finger681.01Felon681.02Onychia and paronychia of finger681.10Unspecified cellulitis and abscess of toe681.11Onychia and paronychia of toe681.9Cellulitis and abscess of unspecified digit682.0Cellulitis and abscess of face682.1Cellulitis and abscess of neck682.2Cellulitis and abscess of trunk682.3Cellulitis and abscess of upper arm and forearm682.4Cellulitis and abscess of hand except fingers and thumb682.5Cellulitis and abscess of buttock682.6Cellulitis and abscess of leg except foot682.7Cellulitis and abscess of foot except toes682.8Cellulitis and abscess of other specified sites682.9Cellulitis and abscess of unspecified sites686.8Other specified local infections of skin and subcutaneous tissue707.00Pressure ulcer, unspecified site707.01Pressure ulcer, elbow707.02Pressure ulcer, upper back707.03Pressure ulcer, lower back707.04Pressure ulcer, hip707.05Pressure ulcer, buttock707.06Pressure ulcer, ankle707.07Pressure ulcer, heel707.09Pressure ulcer, other site707.10Unspecified ulcer of lower limb707.11Ulcer of thigh707.12Ulcer of calf707.13Ulcer of ankle707.14Ulcer of heel and midfoot707.15Ulcer of other part of foot707.19Ulcer of other part of lower limb707.21Pressure ulcer, stage i707.22Pressure ulcer, stage ii707.23Pressure ulcer, stage iii707.24Pressure ulcer, stage iv707.8Chronic ulcer of other specified sites707.9Chronic ulcer of unspecified site709.4Foreign body granuloma of skin and subcutaneous tissue728.82Foreign body granuloma of muscle728.86Necrotizing fasciitis730.10Chronic osteomyelitis site unspecified730.11Chronic osteomyelitis involving shoulder region730.12Chronic osteomyelitis involving upper arm730.13Chronic osteomyelitis involving forearm730.14Chronic osteomyelitis involving hand730.15Chronic osteomyelitis involving pelvic region and thigh730.16Chronic osteomyelitis involving lower leg730.17Chronic osteomyelitis involving ankle and foot730.18Chronic osteomyelitis involving other specified sites730.19Chronic osteomyelitis involving multiple sites730.20Unspecified osteomyelitis site unspecified730.21Unspecified osteomyelitis involving shoulder region730.22Unspecified osteomyelitis involving upper arm730.23Unspecified osteomyelitis involving forearm730.24Unspecified osteomyelitis involving hand730.25Unspecified osteomyelitis involving pelvic region and thigh730.26Unspecified osteomyelitis involving lower leg730.27Unspecified osteomyelitis involving ankle and foot730.28Unspecified osteomyelitis involving other specified sites730.29Unspecified osteomyelitis involving multiple sites785.4Gangrene870.0Laceration of skin of eyelid and periocular area870.1Laceration of eyelid full-thickness not involving lacrimal passages870.2Laceration of eyelid involving lacrimal passages872.00Open wound of external ear unspecified site uncomplicated872.01Open wound of auricle uncomplicated872.10Open wound of external ear unspecified site complicated872.11Open wound of auricle complicated872.8Open wound of ear part unspecified without complication872.9Open wound of ear part unspecified complicated873.0Open wound of scalp without complication873.1Open wound of scalp complicated873.20Open wound of nose unspecified site uncomplicated873.30Open wound of nose unspecified site complicated873.40Open wound of face unspecified site uncomplicated873.41Open wound of cheek uncomplicated873.42Open wound of forehead uncomplicated873.43Open wound of lip uncomplicated873.44Open wound of jaw uncomplicated873.49Open wound of other and multiple sites uncomplicated873.50Open wound of face unspecified site complicated873.51Open wound of cheek complicated873.52Open wound of forehead complicated873.53Open wound of lip complicated873.54Open wound of jaw complicated873.59Open wound of other and multiple sites complicated873.8Other and unspecified open wound of head without complication875.0Open wound of chest (wall) without complication875.1Open wound of chest (wall) complicated876.0Open wound of back without complication876.1Open wound of back complicated877.0Open wound of buttock without complication877.1Open wound of buttock complicated878.0Open wound of penis without complication878.1Open wound of penis complicated878.2Open wound of scrotum and testes without complication878.3Open wound of scrotum and testes complicated878.4Open wound of vulva without complication878.5Open wound of vulva complicated879.0Open wound of breast without complication879.1Open wound of breast complicated879.2Open wound of abdominal wall anterior without complication879.3Open wound of abdominal wall anterior complicated879.4Open wound of abdominal wall lateral without complication879.5Open wound of abdominal wall lateral complicated879.6Open wound of other and unspecified parts of trunk without complication879.7Open wound of other and unspecified parts of trunk complicated879.8Open wound(s) (multiple) of unspecified site(s) without complication879.9Open wound(s) (multiple) of unspecified site(s) complicated880.00Open wound of shoulder region without complication880.01Open wound of scapular region without complication880.02Open wound of axillary region without complication880.03Open wound of upper arm without complication880.09Open wound of multiple sites of shoulder and upper arm without complication880.10Open wound of shoulder region complicated880.11Open wound of scapular region complicated880.12Open wound of axillary region complicated880.13Open wound of upper arm complicated880.19Open wound of multiple sites of shoulder and upper arm complicated880.20Open wound of shoulder region with tendon involvement880.21Open wound of scapular region with tendon involvement880.22Open wound of axillary region with tendon involvement880.23Open wound of upper arm with tendon involvement880.29Open wound of multiple sites of shoulder and upper arm with tendon involvement881.00Open wound of forearm without complication881.01Open wound of elbow without complication881.02Open wound of wrist without complication881.10Open wound of forearm complicated881.11Open wound of elbow complicated881.12Open wound of wrist complicated881.20Open wound of forearm with tendon involvement881.21Open wound of elbow with tendon involvement881.22Open wound of wrist with tendon involvement882.0Open wound of hand except fingers alone without complication882.1Open wound of hand except fingers alone complicated882.2Open wound of hand except fingers alone with tendon involvement883.0Open wound of fingers without complication883.1Open wound of fingers complicated883.2Open wound of fingers with tendon involvement884.0Multiple and unspecified open wound of upper limb without complication884.1Multiple and unspecified open wound of upper limb complicated884.2Multiple and unspecified open wound of upper limb with tendon involvement885.0Traumatic amputation of thumb (complete)(partial) without complication885.1Traumatic amputation of thumb (complete)(partial) complicated886.0Traumatic amputation of other finger(s) (complete) (partial) without complication886.1Traumatic amputation of other finger(s) (complete) (partial) complicated887.0Traumatic amputation of arm and hand (complete) (partial) unilateral below elbow without complication887.1Traumatic amputation of arm and hand (complete) (partial) unilateral below elbow complicated887.2Traumatic amputation of arm and hand (complete) (partial) unilateral at or above elbow without complication887.3Traumatic amputation of arm and hand (complete) (partial) unilateral at or above elbow complicated887.4Traumatic amputation of arm and hand (complete) (partial) unilateral level not specified without complication887.5Traumatic amputation of arm and hand (complete) (partial) unilateral level not specified complicated887.6Traumatic amputation of arm and hand (complete) (partial) bilateral (any level) without complication887.7Traumatic amputation of arm and hand (complete) (partial) bilateral (any level) complicated890.0Open wound of hip and thigh without complication890.1Open wound of hip and thigh complicated890.2Open wound of hip and thigh with tendon involvement891.0Open wound of knee leg (except thigh) and ankle without complication891.1Open wound of knee leg (except thigh) and ankle complicated891.2Open wound of knee leg (except thigh) and ankle with tendon involvement892.0Open wound of foot except toe(s) alone without complication892.1Open wound of foot except toe(s) alone complicated892.2Open wound of foot except toe(s) alone with tendon involvement893.0Open wound of toe(s) without complication893.1Open wound of toe(s) complicated893.2Open wound of toe(s) with tendon involvement894.0Multiple and unspecified open wound of lower limb without complication894.1Multiple and unspecified open wound of lower limb complicated894.2Multiple and unspecified open wound of lower limb with tendon involvement895.0Traumatic amputation of toe(s) (complete) (partial) without complication895.1Traumatic amputation of toe(s) (complete) (partial) complicated896.0Traumatic amputation of foot (complete) (partial) unilateral without complication896.1Traumatic amputation of foot (complete) (partial) unilateral complicated896.2Traumatic amputation of foot (complete) (partial) bilateral without complication896.3Traumatic amputation of foot (complete) (partial) bilateral complicated897.0Traumatic amputation of leg(s) (complete) (partial) unilateral below knee without complication897.1Traumatic amputation of leg(s) (complete) (partial) unilateral below knee complicated897.2Traumatic amputation of leg(s) (complete) (partial) unilateral at or above knee without complication897.3Traumatic amputation of leg(s) (complete) (partial) unilateral at or above knee complicated897.4Traumatic amputation of leg(s) (complete) (partial) unilateral level not specified without complication897.5Traumatic amputation of leg(s) (complete) (partial) unilateral level not specified complicated897.6Traumatic amputation of leg(s) (complete) (partial) bilateral (any level) without complication897.7Traumatic amputation of leg(s) (complete) (partial) bilateral (any level) complicated906.0Late effect of open wound of head neck and trunk906.1Late effect of open wound of extremities without tendon injury906.2Late effect of superficial injury958.3Posttraumatic wound infection not elsewhere classified996.52Mechanical complication of prosthetic graft of other tissue not elsewhere classified997.60Unspecified late complication of amputation stump997.62Infection (chronic) of amputation stump998.30Disruption of wound, unspecified998.31Disruption of internal operation (surgical) wound998.32Disruption of external operation (surgical) wound998.33Disruption of traumatic injury wound repair998.59Other postoperative infection998.83Non-healing surgical wound

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