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January 27, 2020

Updated Podiatry Edits

CGS recently became aware of a system issue with podiatry edits. Effective 1/16/2020, podiatry edits for CPT codes 11055-11057; 11719-11721 and HCPCS code G0127 have been updated. Claims will deny if not submitted with class finding HCPCS modifiers Q7, Q8 or Q9. The use of these modifiers is based on:

Additional references may be found in the CMS Internet Only Manual:

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