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Podiatry Coding & Billing Alert

ICD-10:
Dig Into New ICD-10 Guidelines for Pressure Ulcers, Iatrogenic Injuries, and Physeal Fractures
Never report injury codes from Chapter 19 for injuries that occur during a medical interve... Read more
FAQs:
Get Your Most Puzzling Podiatry Questions Answered by CCI Policy Manual
Hint: Fracture and dislocation procedure codes include the initial casting, strapping, or ... Read more
E/M:
5 Tips Guide Your Prolonged Service Without Direct Patient Contact Claims
Hint: Only report 99358 once per date. In the article “Bust 3 Prolonged Services With D... Read more
Reader Question:
Notice Differences Between Bone Grafting Codes
Question: Can you explain the differences between codes 20900 and 20902? Illinois Su... Read more
Reader Question:
Here’s What HIPAA Compliant Software Entails
Question: Our office recently purchased encryption software that claims to be “100-... Read more
Reader Question:
Observe Podiatrist Doesn’t Cut Bone In This Procedure
Question: The podiatrist performed a procedure to correct curly toes. First, he made ... Read more
Reader Question:
Discover These Codes for Shave Incision
Question: The podiatrist performed a shave incision of 0.5 cm in diameter from the pa... Read more
Reader Question:
Distinguish Between 28120 Versus 28122
Question: The podiatrist removed an infected portion of the patient's tarsal bone usi... Read more
You Be the Coder:
Easily Differentiate Between 28606 and 28615
Question: I'm new to coding and trying to understand the difference between codes 286... Read more
ICD-10 Update:
Congenital Pes Cavus, Enthesopathy Diagnoses Top Your New Podiatry ICD-10 Codes
Report new code L89.506 for pressure-induced deep tissue damage of an unspecified ankle. ... Read more
CPT®:
Solve Wound Repair Coding Dilemma By Identifying Specific Type of Repair
If podiatrist closes wound using adhesive strips as main repair material, report E/M code ... Read more
E/M:
Brush Up on Critical Care Criteria and Beware of Bundled Services With 5 Tips
Hint: Critical care is not based on the location of service; instead, this term describes ... Read more
Reader Question:
Focus on 28035 for Anterior Tarsal Tunnel Release
Question: Is there such a thing as an “anterior tarsal tunnel release?” My podiatrist ... Read more
Reader Question:
Not Sure When to Bill for Orthotics? Read This
Question: When should providers bill for orthotics (code ex: L3000)? Some people say at ca... Read more
Reader Question:
Always Check Included Conditions
Question: The podiatrist diagnosed the patient with inherited keratosis palmaris et planta... Read more
You Be the Coder:
Don’t Mix Up 64704 and 64726
Question: I'm new to podiatry. Can you explain the difference between codes 64704 and 6472... Read more
Corns and Calluses:
Ensure Patient Has Systemic Condition, Count Exact Number of Corns Pared
Remember: Don't forget the importance of identifying class findings. Corns and callous ar... Read more
Coding Quiz:
Know Whether Podiatrist Performed Toe or Foot Amputation and Explore Dx Options
Report 28825 if the podiatrist amputates the patient's toe at the interphalangeal joint. ... Read more
E/M:
Bust 3 Prolonged Services With Direct Patient Contact Myths
Hint: Prolonged service codes +99354-+99357 are defined by time. Reading through the nume... Read more
Reader Question:
Report Repair Codes With Caution
Question: If the podiatrist uses adhesive strips as the sole repair material for a pa... Read more
Reader Question:
Podiatrist Amputated At Interphalangeal Joint? Do This
Question: The podiatrist made an incision on patient's skin over the interphalangeal ... Read more
Reader Question:
Report Bunionectomies With Confidence
Question: The podiatrist made an incision in the patient's right foot over the target... Read more
You Be the Coder:
Identify Type of Lesion Removed For Accurate Code Choice
Question: The podiatrist removed 15 warts on the patient's foot via cryosurgery. Which CPT... Read more
CPT®:
Highlighting Location, Graft Type Will Help You Submit Skin Substitute Graft Claims With Confidence
Be careful when reporting multiple wounds. The podiatrist placed a skin substitute graft ... Read more
Mythbuster:
Boost Your Diabetic Shoe Skills By Busting 3 Myths About Provider Roles
Don't miss: The certifying physician can only be an M.D. or a D.O. Navigating diabetic sh... Read more
CPT®:
5 Tips Will Attack Calcaneal and Talus Fracture Repair Errors Before They Happen
If coding for fracture and E/M combo visit, don't forget modifier 57. Do you know which C... Read more
Reader Question:
Discover Skin CPT® Biopsy, Dx Codes
Question: We were frequently billing the old punch biopsy code 11110 with ICD-10 code G62.... Read more
Reader Question:
Trample Those Inpatient Initial Care Codes Mistakes
Question: Are we allowed to report codes 99221-99223 more than once in the same day if a d... Read more
Reader Question:
Report 28003 for Multiple Bursal Spaces
Question: The provider made an incision in the patient's skin and the fascia in his right ... Read more
Reader Question:
Don’t Append Modifier 24 In This Case
Question: I'm new to coding, and I'm still trying to understand some CPT® modifiers. Can ... Read more
Reader Question:
Turn To These CPT®, Dx Codes For Calcaneal Fracture
Question: The patient fell and sustained a displaced fracture of the anterior process of h... Read more
You Be the Coder:
Focus on This Bunionectomy Code
Question: The podiatrist made an incision in the patient's foot over the target area. He d... Read more
Mythbuster:
Bust 7 Myths to Become Diabetic Shoe Expert
Remember: Certifying physician must be M.D. or D.O. Reporting diabetic shoes can be trick... Read more
Coding Quiz:
Complete This Quick Quiz to Ace Foot Contusion Coding
Remember: “Easy bruising” is a symptom, not a diagnosis. Knowing exactly which ICD-10... Read more
Modifiers:
Think You Know When to Use Modifier 59? Make Sure
Remember: Never append modifier 59 to E/M services. As a coder, you've probably encounter... Read more
Reader Question:
Rely on These Codes for Talus Fractures
Question: The podiatrist sees an established patient with an obvious left foot and ankle i... Read more
Reader Question:
Do This for Medical Student Documentation
Question: Currently, we have a medical student at our clinic. The chart note is linked to ... Read more
Reader Question:
Observe This Non-Pressure Ulcer Coding Solution
Question: Upon examination, the podiatrist notes that the patient has a right midfoot non-... Read more
You Be the Coder:
Untangle This AFO Scenario With Ease
Question: The podiatrist prescribed the AFO represented by L2112 for a patient. Can you he... Read more
Orthotics:
Include Specific AFO Documentation Details for Cleaner Claims
Always ensure the AFO documentation meets general DME requirements. A reader recently wro... Read more
Clip and Save:
Review What Makes an Orthotic Custom-Fit Versus OTS
Hint: You must understand the difference between minimal and substantial self-adjustment. ... Read more
FAQs:
3 FAQs Help You Prevail Over Wart Claims
Never report 17110 and 17111 on the same claim. Don't let reporting wart removal trip you... Read more
Reader Questions:
Simplify Spontaneous Extensor Tendon Scenario
Question: The podiatrist performed a level-three evaluation and management (E/M) serv... Read more
Reader Questions:
Read This Before Applying Modifier Q6 to NP Claims
 Question: Can we report a nurse practitioner's (NP) services to Medicare with a... Read more
Reader Questions:
Decipher Medicare CF Meaning
Question: Can you explain the “conversion factor” and how it impacts Medicare pay... Read more
Reader Questions:
Focus on 73615 for Ankle X-ray With Arthrography
Question: According to the medical documentation, the provider performed the imaging ... Read more
You Be the Coder:
Settle This Morton’s Neuroma CPT® Code Debate
Question: The podiatrist diagnosed the patient with Morton's neuroma. According to th... Read more
CMS:
CERT Report says 13.7 Percent of Podiatry Visits Were Paid Improperly
Here are the claims that could be costing your practice well deserved reimbursement. Your... Read more
ICD-10:
Test Yourself on These Open Wounds of the Toe
Hint: Make sure you know whether the patient has nail damage or not. Reporting diagnosis ... Read more
Appeals:
Bust 3 Myths to Hone Your Knowledge of Medicare Appeals Process
Hint: There are five levels of appeal. The MAC National Government Services recently held... Read more
Reader Question:
Always Check Your CCI Edits When Reporting Codes Together
Question: I billed 11721-59 and 11719-Q8 on a claim, but the 11721-59 came back as denied.... Read more
Reader Question:
Puzzle out Office, Inpatient Consultations
Question: Is there a difference between office and inpatient consultations? When should we... Read more
Reader Question:
Do HIPAA Rules Apply Outside of United States?
Question: Our practice uses a small cloud services provider (CSP) based in Canada to store... Read more
You Be the Coder:
Sharpen Your Multiple Skin Biopsy Coding Skills
Question: I am so confused about the CPT® guidelines for the new skin biopsy codes when r... Read more
Fractures:
3 Tips Boost Your Calcaneal Fracture Coding Accuracy
Rely on 28406 for the percutaneous treatment of calcaneal fractures. When it comes to app... Read more
Tenotomies:
Thwart Potential Claim Disasters by Following This Tenotomy Advice
Look to 28010, 28011 for percutaneous tenotomies. According to your podiatrist's medical ... Read more
MPFS:
2019 MPFS Highlights Telehealth and Virtual Care Services
Don't miss new codes G0513 and G0514. Due to the growing landscape of technology in our w... Read more
Reader Question:
Understand how to Correctly Document HPI
Question: One of our physician assistants believes that if she has an extended history of ... Read more
Reader Question:
Stay on top of 60-Day Rule for CMS Overpayments
Question: We recently realized that our practice has received overpayments from CMS. Can y... Read more
Reader Question:
Figure out Subtalar Arthrodesis
Question: To treat the patient's degenerative arthritis, the podiatrist fused the subtalar... Read more
Reader Question:
Focus on This Toenail Scenario
Question: A patient presented with a big toenail that was torn almost completely away from... Read more
Reader Question:
Rely on E/M Code in this Case
Question: Using forceps and a needle, the podiatrist removed a splinter from a patient's f... Read more
You Be the Coder:
Study These Critical Care Rules
Question: I am new to coding. Can you help me understand what constitutes as critical care... Read more
CCI 25.0 Update:
Navigate New FNA, Skin Biopsy CCI Edits With Ease
Remember: Always check the modifier indicator. You've learned about the 2019 CPT®  ... Read more
Modifiers:
Clear up CPT® Modifier Confusion With 3 Quick Questions
Hint: Only append modifier 25 to E/M codes. CPT® modifiers can be tricky to learn becaus... Read more
Patient Status:
Boost Your Understanding Your Patients' Status
Hint: Report 99211 for established patients only. Although the “three-year” rule is h... Read more
Reader Question:
Make Sense of This Modifier Conundrum
Question: I am new to coding, and I'm trying to understand the Resource-Based Relative Val... Read more
Reader Question:
Follow Medicare's Rules for HBO Therapy
Question: Does Medicare cover HBO therapy to treat lower extremity diabetic wounds? Texas... Read more
Reader Question:
Take a Look at This 28039 Scenario
Question: The podiatrist excised an abnormal mass from the soft tissue below the skin in t... Read more
You Be the Coder:
Recognize Whether Podiatrist Used Manipulation or Not
Question: According to the medical documentation, the patient has a Pilon/Plafond fracture... Read more
CPT® 2019:
Accelerate Your CPT® 2019 Incisional Skin Biopsy Codes and Guidelines Know-How
Hint: Don't miss these new rules for coding multiple skin biopsies. In Podiatry Codi... Read more
Case study:
Crack This Podiatry Scenario to Hone Your Reporting Skills
Use the scenario details to arrive at an answer. In your podiatry practice, it's highly l... Read more
ICD-10:
Follow These Rules When Reporting Multiple External Cause Codes
Generally, you should report a place of occurrence code only once. If you've ever thumbed... Read more
Reader Question:
Clear Up This CCI Edit Confusion
Question: Our office is having difficulty understanding the difference between Medica... Read more
Reader Question:
Discover These New 2019 CPT® Podiatry Guidelines
Question: Does the 2019 CPT® manual give us any more information about codes 29... Read more
Reader Question:
Dive Into These E/M Additions and Revisions for 2019
Question: Did CPT® 2019 add or revise any E/M codes? Ohio Subscriber Answer:&... Read more
You Be the Coder:
See Distinction Between Traumatic, Stress, and Pathological Fractures
Question: I am not sure if I understand the difference between traumatic, stress, and... Read more