33% LESS Medicare money for DPM!!!by Told U. So, DPM (no login)Believe it (see below)...it's the 'law-of-the-land' for Trailblaser states (Texas, Maryland, Virginia, Delaware and the District of Columbia). The 90 day screen applies to CPT 11720 and CPT 11721 codes, whether done for "pain", "limitation of ambulation", "secondary infection", or with the "Q7", "Q8" or "Q9" modifiers. The other part of this local medical review policy (LMRP) for Trailblazer is that there is now a statement regarding the definitive treatment of the onychomycosis with an antifungal pharmacologic agent. The LMRP can be found at www. trailblazerhealth.com - Original Message - I attended a meeting several weeks ago in which a speaker (a podiatrist) stated that Trailblazer Medicare was going to increase the set time interval between mycotic nail debridements from 60 days to 90 days. The speaker warned that this could eventually be reviewed by other carriers, and could potentially become a nationwide policy. Our Medicare carrier is NHIC (New England), and haven't seen in print, or heard of ,similar changes. Has anyone else heard of this? Brunswick, ME
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| Response Title | Author and Date |
| Re: 33% LESS Medicare money for DPM!!! | Anonymous on May 14, 7:40 PM |
| Less Medicare = Less Money | Anonymous on May 15, 4:19 PM |
| question | Anonymous on May 15, 5:23 PM |
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