Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 5. |
Subtitle 40. BOARD OF PODIATRIC MEDICAL EXAMINERS |
Chapter 10.40.08. Interpretation of Terms in the Maryland Podiatry Act |
Sec. 10.40.08.03. Examples of Fragmentation of Billing
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A. By way of illustration, but not limitation, fragmentation of billing in Regulation .02B(3)(i), of this chapter, includes breaking the following general procedures into the following listed specific procedures:
(1) Keller bunionectomy - a multi-step procedure, which may include any or all of the following:
(a) Resection of medial eminence 1st metatarsal head;
(b) Resection base of proximal phalanx;
(c) Capsulotomy/capsulorrhaphy;
(d) Z-plasty of extensor tendon; and
(e) Sesamoidectomy.
(2) Lesser metatarsal osteotomy - a multi-step procedure, which may include any or all of the following:
(a) Tenoplasty;
(b) Capsulotomy/capsulorrhaphy;
(c) Osteotomy; and
(d) Fixation.
B. Fragmentation of billing is especially egregious when the licensee bills for both the general and specific procedures.