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Practice Management
Sometimes It’s Appropriate to Say Goodbye
In keeping with our Pro Tip theme from the last two weeks I thought it appropriate to dive further into the fact that not every doctor-patient relationship is going to work.
Repeated failure to follow medically necessary treatment, chronic no-shows, abusive or belligerent behavior toward the doctor or staff, or a complete breakdown in the doctor-patient relationship may eventually make continued care inappropriate.
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FDA Recalls
Coding
Question Regarding Qutenza
“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?”
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Practice Management
Anthem L3000 Refund Alert
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.
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FDA Recalls
Coding
Billing E/M Code 99211 When an LVN Performs Wound Care
“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.”
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