AT-RISK NAIL AND CALLUS CARE CMS: " CPT® codes 11720 and 11055 should not be reported together for services performed on skin distal to and including the skin overlying the distal interphalangeal joint of the same toe. Modifiers 59 or -X{EPSU} should not be used if a nail is debrided on the same toe on which a hyperkeratotic lesion of the skin on or distal to the distal interphalangeal joint is pared. " 1 Nail debridement for the second toenail cannot be submitted if callus paring is performed at areas indicated. For more information on Routine Foot Care and 59 and X[ESPU] Modifiers visit www.apma.org/59toolkit. 1 APMA recommends documenting number of calluses and exact location of each callus, including laterality and exact location on toe for digital calluses. MLN Matters® Number SE 1418 Revised March 2, 2020 https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnmattersarticles/downloads/se1418.pdf Current Procedural Terminology (CPT®) is copyright 1966, 1970, 1973, 1977, 1981, 1983-2019 by the American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).http://www.apma.org/59toolkit https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnmattersarticles/downloads/se1418.pdf