Query: Coding Punctate Keratosis
I have recently seen a patient with multiple, too numerous to count, punctate keratosis of the soles of her feet and palms of her hands. The condition runs in her family. I have recommended that she apply 40% urea cream to the soles of her feet at bedtime with occlusion and to use a callus file weekly.
I will see her for follow-up re-evaluation on a PRN basis for palliative care. She is 79 years old in good health with no at-risk qualification. What is the appropriate ICD-10 and CPT coding?
PM News Subscriber
Query: Local Sympathectomy of Posterior Tibial Nerve
Are nerve blocks in a foot with PVD and ulcers covered the day of debridement, if used as a local sympathectomy of the posterior tibial nerve?
PM News Subscriber
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Query: Source for Reputable Coding and Billing Company
I’m a podiatrist practicing in Arlington, Virginia. I’m looking for a reputable company to do my billing and coding.
Damaneon Smith, DPM
Query: Coding for Haglund’s Deformity
I am an orthopedic coder and we have been discussing if the CPT code we have been using to remove a Haglund's deformity is correct. I was taught that for removal of a Haglund's deformity, we are to use the CPT code 28118. If though the deformity is large or extra bone has to be taken out, we use the CPT code 28120. Now I am being asked, where in the CPT book does this explain this situation. Would any of you have information to help me in this matter?
Pamela Abshire, CPC
