CAC and PIAC representatives serve as your first line of defense in insurance matters, and for our 23rd CAC/PIAC meeting this year, we are gathering data to enable us to convey information to these representatives for the purpose of prioritizing concerns and pinpointing areas that need focus.

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* 1. Name

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* 2. Email

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* 3. Who is the Part B Medicare Administrative Contractor for your Jurisdiction?

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* 4. Are you  experiencing  denials for payment of repeat procedures for CPT 11730 (Avulsion of nail plate, partial or complete, simple; single) and 11750 (Excision of nail and nail matrix, partial or complete, (e.g., ingrown or deformed nail) for permanent removal?

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* 5. Has your contractor instructed you to insert modifier KX for a medically reasonable and necessary repeat nail excision (CPT 11750) on the same toe?

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* 6. Are you still experiencing difficulties with receiving payment for trimming and debriding of nails (CPT 11719-11721, G0127) with the cutting of corns and calluses (CPT 11055-11057) when using -59 modifier?

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* 7. If so, which carriers are causing the issue for you?

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* 8. Are you experiencing denial or reduction in payment when submitting significant and separately identifiable Evaluation and Management (E/M) services with other minor surgical procedures and the -25 modifier?

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* 9. If so, which carriers are causing the issue for you?

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* 10. How involved and knowledgeable do you consider yourself regarding MIPS policy and procedures?

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