Medical Coding & Best Practices Guide – Podiatry (/the-revenue-cycIe- blog/medical-coding-best-practices- guide-podiatry)
Thought Leadership (/the-revenue-cycle-bl0g/categ0ry/Thought+Leadership), C0ding Best Practices (/the-revenue-cycle-bI0g/categ0ry/Coding+Best+Practices)
Podiatry is a medical specialty that deals with the diagnosis and treatment of diseases, injuries, and defects of the human f00t. P0diatric medicine involves the diagnosis, medical and surgical treatment of disorders of the foot, ankle, and lower extremity. This specialty also includes medical, surgical, mechanical, and physical treatments of the f0ot.
Podiatry billing (/specialties/podiatry- billing-services) can be
rnliratnrl in man/ the treatment, to the coding nuances. In addition to this, podiatry practices primarily treat the elderly, which necessitates additional efforts in billing & coding, as thİS ȘOȘUlation is covered by Medicare. It also demands meticulous use of modifiers and an understanding of coding f0r inclusive procedures.
Common Practices & Guidelines for
î, As many of the services provided by a Podiatrist may not be reimbursable, the determination of medical necessity and validation of coverage is critical to getting reimbursed optimally.
2, CPT code 11721 (Covered Nail Debridement 6 or more) requires a ü8 M0difier (for routine check- up) with systemic conditions. This is medically necessary to be reimbursed by Medicare. But this is reimbursed only six times in a year,
- Podiatry codes are usually added with T1 to T9 M0difiers (Toe modifiers), But for CPT code 97598, 11720, and 11721 the toe modifiers are not used,
4, HCPCS code J33O1, JI10O (injection procedures) are used frequently in Podiatry Billing providing a significant amount of revenue to providers
- Submitting claims using ü modifiers indicate the findings related to the patient’s condition, ü7, ü8, and ß9 are used to bill podiatry
- If multiple surgical procedures are performed, append payable modifiers must be used before class finding ü modifiers, or the ten-digit t0e modifiers (TA-T9), or the left or right foot modifier (LT, RT)
7, Below given CPTs are used for the respective description
Ultrasound, extremity, nonvascular, real-time with image documentation