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Podiatry Coding & Billing Alert

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
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
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
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
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
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
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
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
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
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