Routine versus covered foot care
Medicare class findings and Q modifiers applied when routine care is covered by a qualifying condition.
Specialty billing
Podiatry billing services
Routine, medically necessary and surgical foot care, billed correctly.
Podiatry billing hinges on whether foot care is covered, and on documentation that proves it. We help your claims reflect the medical necessity behind each service.
What we handle
Billing built for
Podiatry practices.
Codes shown are common examples. Payer rules vary, and we apply the policy that applies to each claim.
Nail and callus care
Nail debridement (11720, 11721) and callus paring (11055–11057) with supporting documentation.
Wound care and debridement
Wound debridement and related services (11042, 97597) coded from the procedure note.
In-office procedures
Nail avulsion and matrixectomy (11730, 11750) and other minor procedures.
Diabetic footwear and DME
Therapeutic shoe claims with the certifying-physician documentation payers require.
Authorizations and denials
Coverage checks and appeals for medical-necessity denials.
How we work
Four steps.
Nothing left hanging.
- 01
Verify
Eligibility, benefits and authorizations are checked before the visit.
- 02
Code & submit
Encounters are coded from your documentation and claims are checked before they go out.
- 03
Follow up
Rejections, denials and unpaid claims are worked until they are resolved.
- 04
Report
You receive regular reporting on claims, denials and collections.
How do you handle routine foot care?
We check whether a qualifying systemic condition and class findings are documented before billing, and apply the correct modifiers.
Do you bill diabetic shoes?
Yes, with the certifying physician and supplier documentation payers require.
Can you support wound care billing?
Yes. We code debridement and related services from the procedure documentation.
Your next chapter starts here
More time for patients.
More potential for your practice.
Start with a free practice audit or a conversation about your Podiatry practice.
No patient information needed.