Language quoted from Centers for Medicare and Medicaid Services (CMS), National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy. (You may have to accept the AMA License Agreement.) Applicable FARS\DFARS Restrictions Apply to Government Use. However, Medicare does not cover routine foot care, such as the removal of corns and calluses or the trimming of nails. If you've had a podiatry exam for a different foot problem anytime during the past six months, Medicare might not cover a foot exam. Does Medicare Cover Nail Trimming? Because of these buckled toes, you may have: Blisters and calluses from where your toes rub against the top of your shoes. clipping and debriding of a nail distal to the eponychium. Also Check: Robitussin Cough Syrup For Diabetics, 2021-2022 DiabetesProHelp.com The growth rate of nails decreases when people get older. Find Medicare.gov on facebook (link opens in a new tab), Follow Medicare.gov on Twitter (link opens in a new tab), Find Medicare.gov on YouTube (link opens in a new tab), A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. All Rights Reserved. Nail debridement can take place in your doctors office and will fall under Part B. Effective for services furnished on or after July 1, 2002, Medicare covers, as a physician service, an evaluation (examination and treatment) of the feet no more often than every six months for individuals with a documented diagnosis of diabetic sensory neuropathy and LOPS, as long as the beneficiary has not seen a foot care specialist for some other reason in the interim. While Medicare Part B insurance does not generally cover routine foot care services which may include toenail clipping or corn and callus removal, it does cover certain foot treatments that are medically necessary under Medicares guidelines. Documentation supporting the medical necessity, such as physical and/or clinical findings consistent with the diagnosis and indicative of severe peripheral involvement must be maintained in the patient record. It is these small injuries that can be difficult to detect until it is too late and the possibility of developing gangrene increases. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. Under Paring or Cutting Procedures on the Skin, CPT 11056 is a medical procedural code in the range - Paring or Cutting Procedures on the Skin, as maintained by the American Medical Association.
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