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Below are some commonly used CPT codes for podiatry services:
Excision of a benign tumor (includes excision of soft tissue or bone).
Bunionectomy with distal metatarsal osteotomy.
Hallux valgus correction (bunion surgery with or without osteotomy).
Open reduction of metatarsal or phalangeal fractures with or without internal fixation.
Paring or cutting of benign hyperkeratotic lesions, 2 or more lesions.
Paring or cutting of benign hyperkeratotic lesions, 2 or more lesions, extensive.
Debridement of toenails (includes trimming and removal of nail and surrounding tissue).
Removal of nail plate (e.g., partial or total).
Excision of ingrown toenail, partial (with or without a matrixectomy).
27650: Tendon lengthening (posterior tibial tendon for flatfoot).
27652: Tendon transfer of the foot or ankle.
28485: Arthrodesis (surgical fusion) of the foot or ankle, including joint removal.
28510: Repair of a fracture of the metatarsal bone (closed or open).
97597: Removal of cast or splint (if it’s medically necessary, like in foot or ankle injuries).
97760: Orthotic management and training, including custom-made orthotics.
20550: Injection of tendon sheath or ligament, single tendon.
20551: Injection of tendon sheath or ligament, multiple tendons.
64450: Injection of anesthetic agent to the foot for nerve block.
11042: Debridement of a wound, skin (subcutaneous tissue) only.
11043: Debridement of a wound, skin, and subcutaneous tissue.
97602: Removal of devitalized tissue or wound dressing with or without the use of a vacuum-assisted closure device (VAC therapy).
99203: New patient, 30-44 minutes, moderate complexity (typically for initial consultation for a condition or injury).
73600: X-ray, foot, complete, 2 views.
73610: X-ray, foot, multiple views, including the toes.
76881: Ultrasound of the ankle joint or foot for diagnostic purposes.
95990: Podiatric neurodiagnostic testing (nerve conduction studies or electromyography of the foot/ankle).
99070: Supplies used in podiatric procedures (non-surgical).
To ensure accurate and efficient billing, keep the following in mind:
Accurate Diagnosis Codes (ICD-10): Make sure to match the diagnosis code with the correct treatment.
Thorough Documentation: Ensure all patient interactions and treatments are thoroughly documented to support the codes submitted.
Payer Requirements: Different insurers may have specific rules for submitting claims. Always confirm payer-specific requirements to reduce the chance of denials.
Timely Filing: Submit claims as soon as possible to avoid any issues with claim acceptance and reimbursement.
Podiatry services are typically covered by most major insurance plans, including Medicaid, Medicare, and private insurers. However, reimbursement rates and coverage may vary based on:
The specific condition being treated
The patient’s insurance plan
Whether the service is provided in-network or out-of-network It’s important to verify insurance coverage before providing treatment to ensure that services will be covered and that the correct billing codes are used.
Medical claim denials are a common challenge in podiatry billing. Our process:
Understanding the Denial Reason: Denials could be due to incorrect coding, insufficient documentation, or missing information. We thoroughly review the insurance company’s reason for denial and address it appropriately through various modes of response.
Appeal Process: If the claim is denied based on coverage or medical necessity, an appeal may be necessary. We review the insurance company’s appeal process and act quickly to submit it and reduce potential delays or timely submissions.
Check out our FAQ section to find quick solutions.
We offer full-service medical billing, including coding, claim submission, insurance verification, patient billing, accounts receivable management, and denial management. We also assist with prior authorizations and appeals to ensure timely reimbursement
We have over 20 years of billing in all the specialties we have listed on our site!
Yes! All our billers are experts in the field. With many years of experience and we ensure to only assign the best biller for your specialty. We undergo quarterly trainings and are all certified!
We only use your medical billing software for complete transparency in our performance and to safeguard your practice with ethical and accurate standards.
We provide regular updates through email or phone calls to keep you informed on your billing status. Additionally, we use an online chat system such as Google or Teams for daily needs. We also schedule monthly calls, if needed!
Our onboarding process is simple and efficient. After an initial consultation, we gather necessary documents, set up your accounts in your system and portals. We aim to have everything up and running within 1-2 weeks.
We specialize in personalized service for each client, ensuring that your practice’s unique needs are met. Our team consists of highly trained professionals with expertise in a variety of specialties, and we offer a high level of transparency and communication. We work to maximize your revenue while ensuring accuracy and compliance.
We have a dedicated team that handles claim denials and rejections. When a claim is denied, we review the reason, correct any errors, and resubmit the claim. If necessary, we also handle the appeals process to ensure that your practice receives the reimbursement it's entitled to.
