Hello hbarney1,

For MCR if the debridement and Una boot were in the same location than only the debridement will be paid (check out the CMS NCCI Manual, in Chapter 4, Section G, paragraph 3: “Debridement CPT codes (e.g., 11042-11047, 97597) and grafting CPT codes (e.g., 15040-15776) should not be reported with a casting/splinting/strapping CPT code (e.g., 29445, 29580, 29581) for the same anatomic area.” ). If the debridement and Una boot are not in the same location than you can bill/be reimbursed for both with modifier 59 on CPT 29580 since there is a NCCI edit and CPT 29580 is a column 2 edit. You should try to contact BCBS to see what their policy is maybe they follow the MCR guidelines.

M.Hannus, CPC, CPMA, CRC