“We have a provider who wants to do Qutenza patches for neuropathy affecting a patient’s foot. The vendor suggested CPT code 64632. I cannot find anything official to support that code and most of the carriers that do have policies state that there is no CPT code for the application and to list the J code for the medication. Do you have any insight here or anything official that states that CPT code 64632 would be appropriate?”
by Cindy Sorenti, PMAC, President and CEO Pinnacle Practice Achievement, LLC
September 14, 2026
By justina
0 Comments
Very recently I have seen multiple practices in different states receiving retrospective Anthem refund requests for previously paid custom orthotics (L3000), including claims from 2024 and 2025.
“Three of the podiatrists in our group have joined together to open a wound care center. They have a licensed LVN on staff that performs wound dressing changes, Arobella wound care treatments and things of that nature. Are we able to charge the E/M code 99211 as a "nurse" visit if the doctor is not on site? Any advice or recommendations are greatly appreciated.”
As AI moves from writing notes to influencing clinical decisions, physicians and health systems face a new documentation challenge.
It may not have happened to you yet, but one day you may be involved in an insurance audit, board action or malpractice action and you will be asked the question: Doctor Did you use AI when documenting this visit?