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Podiatry Coding & Billing Alert

CPT® 2020 Update:
Here’s How to Effectively Use New Online Digital E/M Guidelines
Never report online digital E/M services for cumulative service time that is less than fiv... Read more
7 Quick Questions Hone Your Pressure Ulcer Know-How
Hint: Always code associated gangrene first, for pressure ulcers, if applicable. Patients... Read more
Follow These Steps to Prevent Incidental Protected Health Information Disclosure
Remember: Patients' data is often impermissibly used and disclosed due to a lack of staff ... Read more
You Be the Coder:
Identify Correct ICD-10 Codes for Pathologic Fracture Scenario
Question: My podiatrist saw a patient who fractured his right foot. The patient was diagno... Read more
Reader Question:
Observe Certifying Physician’s Role
Question: When it comes to diabetic shoe claims, can the certifying physician be any kind ... Read more
Reader Question:
Look to 28005 For Bone Cortex Incision
Question: The podiatrist made an incision in the skin over the infected portion of the bon... Read more
3 Tips Solve Foot, Toe, and Ankle Tumor Removal Puzzle
Hint: Make sure you know the exact size of the tumor. When your podiatrist removes a tumo... Read more
CPT® 2020 Update:
Adopt Online Digital, Virtual QNHP, and RPM E/M Codes Before Jan. 1
Check out new online digital code 99421. Although you won't see many podiatry-specific CP... Read more
Modifier 62:
Learn Fundamentals of Modifier 62 to Avoid Denials
Hint: When you append modifier 62, each physician should identify the other as a co-surgeo... Read more
You Be the Coder:
Puzzle Out This Bone Cyst Situation
Question: The podiatrist performed a level-three evaluation and management (E/M) service f... Read more
Reader Question:
Demystify This Arthrodesis Problem
Question: The patient has pain related to her end stage osteoarthritis of her midtarsal jo... Read more
Reader Question:
Report 97597 for Extensive Debridement
Question: The podiatrist excised dead tissue from an open wound on the patient's left foot... Read more
Reader Question:
Learn More About X{EPSU} Modifiers
Question: Do all payers accept the X{EPSU} modifiers? One of my colleagues heard that... Read more
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Thwart Potential Claim Disasters by Following This Tenotomy Advice
Look to 28010, 28011 for percutaneous tenotomies. According to your podiatrist's medical ... Read more
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
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
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