Routine foot care is perhaps the most common reason patients visit podiatry clinics. And one treatment that is sometimes done during routine foot care is debridement of nails. Depending on the number of nails involved, this is labeled with the CPT code 11721.

So how do you successfully bill 11721 to Medicare? The most important thing to remember when billing 11721 to Medicare is that Medicare will only cover it if it is medically necessary.

If the patient has a systemic condition resulting in leg or feet desensitization or if they have severe circulatory embarrassment, then they will quickly cover and approve 11721. Without this medical necessity, billing 11721 to Medicare can be more of a headache.

What is 11721?

11721 or Current Procedural Terminology (CPT) code 11721 is a medical procedural code that can be found under Surgical Procedures on the Nails, as defined by the American Medical Association.

Specifically, CPT 11721 refers to the debridement of nails, which is the removal of a toenail bed due to the diseased toenail bed. This can be performed with an electric grinder or with a manual instrument. Patients who are diagnosed with conditions such as onychomycosis are generally recommended for nail debridement.

The 11721 code is used to classify procedures involving debridement of 6 toe nails or more, while the 11720 code is used to classify procedures involving the debridement of 5 toe nails or less.

Known Issues with Billing 11721

Recently, podiatrists have been met with denials from Medicare when billing for the code 11721. Since the implementation of ICD-10 it has become more difficult to have Medicare cover the costs of 11721 procedures. The reason is that 11721 is generally considered medically necessary.

According to Medicare, routine foot care can be payable when the treated patient is suffering from a systemic condition. The systemic condition should lead to desensitization in the feet or legs or result in severe circulatory embarrassment. These class findings must be supported and reported in the medical record of the patient.

It is important that the 11721 procedure is performed on a patient with an existing system condition to have it covered by Medicare. Without this, it can be difficult to bill 11721 successfully.

When coding 11721, it should also be noted that 11721 requires a modifier – these can be Q7, Q8, or Q9. The purpose of these modifiers is to indicate that the patient is properly classified for routine foot care.  When coding 11721, it typically does not require a laterality modifier, as debridement is not coded by location but by depth and size.

Another known issue with billing 11721 is the use of modifier 59 to bypass certain recent changes in the NCCI guidelines. This is determined by the location of the hyperkeratotic lesion, whether it can be found on the same distal phalanx or not. When this is the situation, modifier 59 should not be used to bypass recent edits.

How to Bill 11721 to Medicare

To successfully bill 11721 to Medicare, the most important part is ensuring that the patient required the procedure as a medical necessity. Patients must have a systemic condition that demands the procedure to be done.

Without the systemic condition resulting in feet or leg desensitization or severe circulatory embarrassment, Medicare only considers the procedure as routine foot care and not eligible for coverage.

Hippocratic Solutions – The Top Specialty Podiatry Billing Provider

Medical billing can be tough, especially specialized billing like podiatry billing. Giving your patients the best care possible means more than just properly treating their conditions, but also properly processing their claims and helping them with their coverage.

At Hippocratic Solutions, we are here to help podiatry clinics get the most out of their medical billing needs and more. Our expert team can help you unravel any headache and problem you might have with your billing, and keep your clinic running smoothly and seamlessly.

Spend more time doing what you trained to do – treating patients – and let us handle the rest. Contact us today at Hippocratic Solutions to learn more.

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    người ta biếu nhau bằng những món quà mà mình cho là quý nhất.
    Nay, các phần Quà tặng tết ngày càng phong phú hơn và thường được chọn theo
    sở thích người nhận.

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    quà biếu tết đều chứa đựng những ý nghĩa nhân văn truyền thống, đều là vật dẫn truyền tình cảm của người tặng
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    tặng ân nhân. Cũng có những phần quà tặng tượng trưng cho lời chúc tài lộc, như các vật
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    xã giao đời thường, quà biếu trao tay còn được các nhà hảo tâm dành tặng cho những hoàn cảnh khó khăn. Lúc này,
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    nhóm chính:

    – Ý nghĩa tinh thần: Bày tỏ tấm lòng, thành ý, sự
    quan tâm đến người nhận. Ví dụ: Quà tặng ông bà
    bố mẹ để cảm ơn công đức sinh thành, nuôi dưỡng.
    Quà biếu bạn trai/ bạn gái để thể hiện tình cảm yêu
    thương. Quà biếu khách hàng, đối tác để tri ân họ
    vì đã đồng hành, ủng hộ công ty trong năm vừa qua…

    – Ý nghĩa vật chất: Quà tặng Tết Nguyên Đán đôi
    khi còn mang tính hỗ trợ về mặt kinh tế đối với người mình trân trọng, nhưng không thể sử dụng tiền (vì lý do tế nhị).
    Chẳng hạn, khi biết gia đình anh em họ đang gặp khó khăn, không có tiền sắm sửa đồ
    ngày cuối năm, một số người sẽ mua quà hỗ trợ.
    Hoặc giả, cũng có nhiều cá nhân, tổ chức mua quà để đi
    từ thiện, giúp đỡ những hoàn cảnh khó khăn…

    Như vậy, hành động tặng quà cuối năm không chỉ mang mục đích
    truyền tải thông điệp về mặt tình cảm, mà còn chứa
    đựng những giá trị đặc biệt khác, những ý nghĩa
    khác không thể nói hết bằng lời.

    Giải pháp quà tặng ngày tết
    Giá trị món quà không chỉ nằm ở tặng phẩm, mà còn ở các hình thức đóng
    gói quà độc đáo. Nếu thiết kế mẫu mã
    đẹp, các thành phần có trong set quà cũng được “nâng
    tầm”, sang trọng và trang nhã hơn. Có lẽ vì thế mà ngoài việc chú trọng vào thành
    phần tặng phẩm, nhiều khách hàng còn đặc biệt quan tâm đến bao bì nhãn mác.

    Về vấn đề này, hiện có 3 giải pháp thiết kế thịnh hành dành
    cho người tặng, bao gồm: Hộp, Giỏ và Hamper quà tết.
    Các giải pháp này chủ yếu thỏa mãn “phần nhìn”, tức là về
    mặt hình thức của phần quà và dường như không ảnh hưởng nhiều đến mức giá.

    Tuy nhiên, mỗi giải pháp đóng gói quà tặng lại có
    những đặc điểm riêng, nên thường được một số
    nhóm người khác nhau ưa chuộng. Ví dụ Hộp quà thường được chọn tặng đối tác; Giỏ
    quà tặng tết lại thích hợp biếu người thân, lối xóm hoặc bạn bè; còn Hamper tết
    hay được ưu tiên tặng nhân viên, khách hàng thân thiết…

    Muốn biết vì sao các set quà này thích hợp với từng
    nhóm người nhận, cũng như các ưu và nhược điểm của mỗi giải pháp, bạn có
    thể tham khảo chi tiết qua các mục nhỏ sau:

    Hộp quà tặng tết
    Hộp quà tết là thiết kế cao cấp dành cho
    các tặng phẩm sang trọng. Nếu đề
    cao tính riêng tư và tăng cảm giác tôn trọng người nhận, hộp quà tết là lựa chọn hàng
    đầu trong các hình thức đóng gói. Đây là giải pháp quà tặng xuân lý tưởng thường được doanh
    nghiệp lựa chọn.
    Giỏ quà tặng tết
    Giỏ quà tết với kiểu dáng phong phú, là
    set quà bán chạy mọi thời đại. Chọn giỏ
    quà, người tặng có thể “phô diễn” các vật phẩm bên trong một
    cách tinh tế. Nếu muốn biếu set quà sung túc kèm lời chúc thịnh vượng đến gia chủ, đây có lẽ
    là giải pháp thích hợp nhất.
    Hamper Tết
    Giá cả hợp lý, thành phần đa dạng và mẫu mã sang trọng
    khiến hamper quà tết trở thành sản phẩm cháy hàng dịp cuối năm.
    Tại Mama’s Food, các mẫu hamper độc đáo liên tục “chào sân” và được nhiều khách hàng săn đón, có thể kể đến set: Như Ý, Tân Xuân…

    Gợi ý quà tặng tết xu hướng 2021
    Các mẫu quà tết luôn thay đổi theo từng năm, dựa trên xu hướng thịnh hành trên thế giới.

    Tại Việt Nam, dự kiến các set quà tết sức khỏe sẽ lên ngôi
    năm 2021, với thiết kế trang nhã và đa sắc. Điển hình như các
    hộp quà tặng sâm yến sang trọng dành tặng ông bà, hoặc các giỏ quà hạt dinh
    dưỡng nhập khẩu lành mạnh tặng
    người thân…

    Về màu sắc, xanh da trời có thể sẽ được yêu thích trong năm
    nay, vì đây là màu tượng trưng cho hòa bình và khởi đầu một năm mới bình an. Ngoài ra, xanh dương còn là màu của trách
    nhiệm và sự tin tưởng, thích hợp cho các doanh
    nghiệp tặng đối tác, khách hàng nhằm
    khẳng định uy tín.

    Ngoài xanh dương là trend mới năm nay, sắc đỏ và
    vàng cũng là 2 màu cổ điển được trọng dụng, mãi mãi và sẽ
    không bao giờ “hết hot” tại Việt Nam cũng như các
    nước phương Đông.

    Nếu bạn vẫn chưa có ý tưởng gì cho quà
    tặng tết 2021, hãy xem các gợi ý dưới đây để tham khảo các mẫu quà tết
    mới nhất, ấn tượng nhất năm nay. Tin rằng các mẫu quà
    xuân đẹp mắt này sẽ giúp bạn có thêm nhiều lựa chọn phù
    hợp, để năm nay quà không “đụng hàng” năm
    trước mà vẫn bày tỏ được thành ý và tấm lòng trân trọng.

    Dù mang đậm văn hóa Á Đông, người Việt
    vẫn có những quan niệm khác biệt về ý nghĩa các vật phẩm.
    Sau đây là ý nghĩa từng món quà tặng tết phổ
    biến theo phong tục người Việt:

    57+ mẫu hộp, giỏ quà, hamper Tết đẹp nhất tại Mamafood
    Đựng trong giỏ, hộp và chứa những vật phẩm
    cần thiết khi được sắp xếp khéo léo
    như bánh, kẹo, mứt, trà, vang.. Hamper quà được mọi khách hàng lựa
    chọn không chỉ về sự hữu dụng vào ngày xuân mà còn mang lại nhiều ý nghĩa về
    nét đẹp văn hóa cổ truyền tết quê hương.

    Quà tặng tết, hamper là sự lựa chọn hợp lý và an toàn nhất, tặng phẩm góp phần giúp người nhận hiểu rõ được mong muốn khi
    bày tỏ thành ý, tình cảm của mình cùng lời chúc tốt đẹp hy
    vọng mọi điều may mắn, hạnh phúc, sức khỏe sẽ đến trong năm mới.
    Chắc chắn rằng người nhận sẽ cảm thấy xúc động, ấm áp khi
    được quan tâm vào những dịp đặc biệt như vậy.

    Bánh kẹo hàng nhập khẩu
    Bánh kẹo nhập khẩu là sản phẩm rất được
    người tiêu dùng ưa chuộng, không chỉ có mẫu mã được thiết
    kế độc đáo mà sản phẩm mỗi loại đều chất lượng, thơm ngon.
    Quy trình chế biến đều dưới sự giám sát của chuyên gia lành nghề nhiều năm chuyên về bánh,
    kẹo tết đã mang lại sự tin tưởng tuyệt đối đến mọi khách hàng.

    Bánh, kẹo thường nhập khẩu từ
    các nước chủ yếu như Đan Mạch,
    Ý, Đức, Malaysia và mọi lãnh thổ quốc
    gia trên thế giới. Các loại bánh, kẹo phổ biến thường thấy và được người tiêu dùng sử dụng đó là bánh danisa, bánh quy vicenzovo từ Ý, bánh socola jezyki
    red từ ba lan, kẹo sâm hàn quốc…
    ựa chọn bánh, kẹo nhập khẩu cho quà tặng tết sẽ cảm thấy yên tâm khi người nhận sử dụng,
    qua đó thể hiện rõ được tình cảm mong muốn trao gửi.

    Các loại trái cây sấy
    Đều có nguồn gốc xuất xứ từ trong và ngoài nước, trái
    cây sấy được xem là thực phẩm thông dụng
    không chỉ dùng cho ngày tết mà bình thường cũng có
    thể sử dụng như là món ăn vặt.
    Đều được chọn những loại trái cây thiên nhiên, mọng nước, khi ăn có cảm giác thoải mái rất dễ chịu và vô cùng
    tốt cho sức khỏe. Lựa chọn trái cây sấy góp phần vào
    tặng phẩm tết vừa tăng thêm sự đa dạng, đầy đặn cho món quà mà còn thể hiện được sự chu đáo, tinh tế khi thông minh và biết cách lựa chọn những vật phẩm lại
    với nhau và cuối cùng là để góp phần bày tỏ được thành ý cùng lời
    chúc năm mới đến với người nhận trong không khí hân hoan, háo hức đón chờ một năm nữa lại
    sang.

    Hạt dinh dưỡng tốt cho sức khỏe
    Có thể nói hạt dinh dưỡng là thực phẩm được
    mọi lứa tuổi đều yêu thích, không chỉ là món ăn vặt giúp
    giải tỏa tâm trạng khi căng thẳng hay những buổi trò chuyện, tâm sự bên gia đình, bạn bè vào những phút giây cuối tuần mà khi ăn đúng cách hạt
    dinh dưỡng mang lại giá trị vượt trội cho sức khỏe của
    mỗi con người.

    Tất cả các loại hạt đều mang lại một lợi
    ích nhất định trên mỗi bộ phận cơ thể như hạt óc chó tốt não bộ, hạnh nhân cung
    cấp vitamin…

    Chính vì thế, chọn hạt dinh dưỡng
    bổ sung cho giỏ, hộp quà của mình hoặc có thể tặng nguyên bộ hạt sẽ thể hiện được mình là
    người chu đáo, biết quan tâm đến lợi
    ích sức khỏe của người mình yêu thương và
    chắc chắn rằng họ sẽ cảm thấy rất hạnh phúc và xúc động vì điều đó.

    Thực phẩm khô đóng gói
    Cũng là loại đồ hộp được chế biến sẵn và đóng gói, thực phẩm
    cũng là sự lựa chọn không thể bỏ qua vào dịp tết.
    Đều được lựa chọn nguyên liệu kỹ lưỡng,
    cẩn thận và chế biến theo quy trình nghiêm ngặt đảm
    bảo vệ sinh an toàn thực phẩm. Đồ khô luôn được mọi người tiêu dùng quan tâm và
    chọn sử dụng vào những dịp Lễ Tết hay những bữa tiệc quan trọng.

    Ngoài ra, một số thực phẩm khô cũng được xem là món ăn vặt như khô bò, khô gà.
    Sẽ vô cùng thích hợp khi ngày xuân tiếp khách, nhâm nhi ly rượu nồng
    hay chén trà và thưởng thức miếng khô bò xé sẽ mang
    đến hương vị ấm áp và hạnh phúc.

    Lựa chọn thực phẩm khô làm quà tặng tết sẽ vô cùng ý nghĩa và gói ghém những sự yêu thương, quan tâm mong muốn dành đến người nhận trong dịp
    xuân mới.

    Thực phẩm sức khỏe như Yến, sâm và đồ bổ
    Là loại đồ uống mang lại giá trị vượt trội
    cho sức khỏe, nước yến, sâm luôn được mọi khách hàng lựa chọn làm quà tặng đến người mình yêu thương,
    đặc biệt dành đến ông bà, bố mẹ của mình sẽ
    là điều rất ý nghĩa và thiết thực.

    Hiện tại trên thị trường các mặt hàng thực phẩm nước uống bổ dưỡng như
    yến, sâm đều đã được chế biến và đóng gói sẵn thành hộp.
    Tuy nhiên thành phần của mỗi món đồ uống này đều vô cùng đắt đỏ nên sẽ không tránh khỏi được việc
    những cơ sở sản xuất hàng giả kém chất lượng nên khách hàng cần tỉnh táo tìm hiểu và đến những
    đơn vị uy tín để chọn cho mình vật phẩm phù hợp, đảm bảo thẩm mỹ và sự chất lượng.

    Ý nghĩa bày tỏ sự quan tâm đến sức khỏe người
    nhận, chúc người nhận luôn khỏe mạnh, bình an, sống thọ…

    Socola
    Là món ăn được mọi lứa tuổi yêu thích,
    đặc biệt là trẻ em, người yêu. Socola được xếp vào danh
    sách là sản phẩm bánh kẹo cao cấp được bán chạy nhất mỗi khi
    được chế biến và đóng gói. Với hương vị đắng
    không quá gắt hòa lẫn với chất ngọt tự nhiên mang cảm giác rất thích thú muốn thưởng thức mãi không thôi,
    ngoài ra socola còn được chế biến qua nhiều hình thù độc đáo được rất nhiều bạn nhỏ yêu mến.
    Tặng quà tết cho người nhận là người yêu nên chọn một đến hai hộp socola sẽ giúp cho người
    nhận hiểu rõ được tấm lòng, tình cảm mình muốn trao gửi cùng với sự chân thành.

    Đối với trẻ em thì sô cô la là món quà mà tụi nhỏ yêu thích, vì con nít thì
    thích ngọt mà, thay vì cho tiền thì mình có thể tặng bánh, kẹo, hoặc thanh
    socola sẽ giúp trẻ nhỏ quý mình hơn.

    Câu đối đỏ ngày tết
    Ngày tết, tặng câu đối rực rỡ với những chữ
    gợi sự may mắn, hạnh phúc sẽ mang hàm ý chúc họ một năm mới hanh thông, thịnh vượng.
    Ý nghĩa thế nào phụ thuộc vào nội dung câu đối.

    Dù vậy, nếu tinh ý và khéo léo cân đo
    đong đếm, chúng ta vẫn có thể lên được phương án quà tặng
    dịp tết phù hợp. Các tư vấn tặng quà dưới đây dành cho doanh nghiệp và gia đình, hy vọng sẽ mang những gợi ý
    hữu dụng:

    Quà tặng Tết cho doanh nghiệp
    Quà tết cho doanh nghiệp là những món quà tặng đối tác, khách hàng và người lao động đến từ
    phía doanh nghiệp, xưởng sản xuất…
    Tùy theo đối tượng người nhận là ai, doanh nghiệp sẽ có mức ngân sách và tặng phẩm phù hợp.
    Chi tiết tham khảo trong bài viết “quà tết doanh
    nghiệp“.

    Quà tặng Tết cho gia đình
    Quà tết cho gia đình không câu nệ vật chất song
    cần thể hiện được thành ý và sự quan tâm của con cháu
    đến ông bà bố mẹ, của anh em trong gia đình
    đến họ hàng người thân. Đặc biệt vợ
    chồng cũng cần cân đối quà tặng năm mới sao cho đẹp lòng đôi bên nội
    ngoại.

    Quà Tết tặng bố mẹ
    Tết đến Xuân về, là dịp để con cái bày tỏ tình cảm,
    kính trọng đến bố mẹ thông quà những món quà tặng ý nghĩa.
    Quà Tết tặng bố mẹ tuy không cần quá câu
    nệ về hình thức hay giá trị nhưng cần có ý nghĩa
    và mong ước gửi trao đến bố mẹ nhân dịp
    đầu năm mới.

    Thị trường quà Tết hiện nay rất đa dạng, sẽ không quá khó để bạn có thể tìm được món quà tặng ý
    nghĩa để làm quà biếu bố mẹ. Một vài món quà thông
    dụng thường được nhiều người lựa chọn trong dịp Tết mà bạn có thể tham
    khảo như: quà tặng sức khỏe, cây cảnh ngày
    Tết, giỏ/ hộp quà Tết, vật dụng
    trong gia đình, một chuyến du lịch…

    Rất nhiều gợi ý mà bạn có thể cân nhắc đến,
    tuy nhiên để món quà tặng thêm phần ý nghĩa, trọn vẹn hơn vào ngày Tết thì bạn hãy thử lắng nghe những mong ước của
    bố mẹ để từ đó lựa chọn món quà
    tặng phù hợp nhất. Với món quà tặng tâm lý, nhất định bố mẹ sẽ
    cảm thấy rất bất ngờ và vui vẻ trong ngày Tết Đoàn viên.
    Quà tặng Tết cho khách hàng
    Tết là dịp để Doanh nghiệp gửi tặng những món quà ý nghĩa đến với khách
    hàng nhằm tri ân sâu sắc quãng thời gian đã hợp tác, đồng hành cùng nhau.
    Đồng thời gửi lời chúc cho một năm mới hanh thông,
    như ý gặp nhiều điều may.

    Tuy nhiên, chọn quà tặng Tết cho khách hàng không phải
    là việc đơn giản. Bên cạnh việc cân đối mức
    ngân sách, cách chọn quà tặng cũng cần có sự
    tinh tế, tâm lý để món quà tặng trở nên ý nghĩa, người nhận cảm thấy vui
    vẻ và hài lòng với món quà tặng.

    Để lựa chọn món quà tặng phù hợp với khách hàng, 3 tiêu chí quan trọng sau
    đây Doanh nghiệp nhất định phải
    nắm, đó là: mức ngân sách mua quà tặng, đối tượng người nhận và thông điệp mà Doanh
    nghiệp muốn gửi gắm. Dựa vào 3 tiêu chí này để từ đó cân nhắc,
    lựa chọn món quà tặng sao cho ý nghĩa, phù hợp nhất.

    Quà Tết tặng s