Podiatry mixes routine foot care, which has strict coverage rules, with surgical and diagnostic services.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 11721 | Debridement of nails, six or more | Needs class findings for routine foot care |
| 11055 | Paring of a benign skin lesion, single | Additional lesions use other codes |
| 28285 | Correction of hammertoe | Toe modifiers required |
| 28296 | Bunion correction | Authorization usually required |
| 29540 | Strapping of ankle or foot | Check payer bundling rules |
| 73630 | X-ray of the foot, minimum 3 views | Professional vs technical split may apply |
| 99213 | Established patient visit, low to moderate | Add -25 if a procedure is done the same day |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.