- Business Hours: 08:00 to 05:00 | Monday to Friday
- Contact: +1 713-702-7332
- Email: info@ombcs.com
- 906 W. Medical Center Blvd, Webster TX 77598

# Podiatry Billing Services

### Our Specialties

## Podiatry Billing Services

Specialized billing solutions for podiatry practices to optimize revenue, reduce denials, and streamline billing for foot and ankle procedures, surgeries, and ongoing care.

### Our Services

## Podiatry Billing Expertise

- Foot and ankle surgery billing expertise
- Diabetic foot care coding and documentation
- Custom orthotics and prosthetics billing
- Wound care and ulcer treatment coding

- Nail procedures and routine foot care billing
- DME and therapeutic footwear reimbursement
- Medicare LCD compliance for podiatry services
- Experience with podiatry-specific modifier usage

### Coding Expertise

## Common Podiatry CPT Codes

Code | Description
--- | ---
11721 | Debridement of nails by any method, 6 or more
28296 | Correction, hallux valgus (bunionectomy), with metatarsal osteotomy
97597 | Debridement of open wound, first 20 sq cm
29405 | Application of short leg cast (below knee to toes)
64450 | Injection, anesthetic agent; other peripheral nerve or branch
11750 | Excision of nail and nail matrix, partial or complete
28285 | Correction, hammertoe (interphalangeal joint procedure)
28292 | Correction, hallux valgus (bunionectomy), with sesamoidectomy
99212 | Office/outpatient visit, established patient, straightforward MDM
L3000 | Foot, insert, removable, molded to patient model

### Our Process

## Podiatry Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your podiatry practice.

### Patient Registration & Insurance Verification

We verify podiatry-specific insurance benefits and coverage for foot and ankle procedures before services are rendered, including:

- Verification of medical necessity requirements for routine foot care
- Pre-authorization for podiatric surgeries and procedures
- Diabetic foot care coverage verification
- DME and therapeutic footwear benefit confirmation
- Patient responsibility estimation for custom orthotics and high-cost procedures

### Specialized Podiatry Coding

Our podiatry coding specialists ensure accurate code assignment for all foot and ankle services:

- Precise coding for podiatric surgical procedures (bunionectomies, hammertoe corrections)
- Expert coding for diabetic foot care and risk assessment
- Accurate coding for nail procedures and debridement services
- Proper modifiers for Q7, Q8, Q9 and routine foot care exemptions
- Compliant documentation support for Medicare-covered podiatry services

### Clean Claim Submission

We achieve a 98% clean claim rate for podiatry services through our thorough process:

- Podiatry-specific claim scrubbing to identify coding errors
- Verification of medical necessity documentation for foot care procedures
- Inclusion of required supporting diagnoses for routine foot care
- Proper sequencing of systemic and foot-specific diagnosis codes
- Electronic submission to all major payers within 24-48 hours

### Podiatry Denial Management

Our specialized approach to podiatry claim denials includes:

- Expertise in appealing medical necessity denials for routine foot care
- Management of Medicare LCD compliance issues
- Documentation support for complex surgical intervention appeals
- Appeals for orthotic and therapeutic footwear claim denials
- Monitoring and addressing podiatry-specific payer policy changes

### Podiatry Practice Analytics

Our podiatry-specific reporting and analytics help optimize your practice:

- Procedure-specific profitability analysis by CPT code
- Revenue analysis by service line (office visits, surgeries, DME)
- Payer-specific performance metrics for podiatric services
- Denial trend analysis by procedure type and diagnosis
- Recommendations for revenue optimization by service area

### frequently asked questions

## Podiatry Billing FAQs

Get answers to common questions about our podiatry medical billing services, coding challenges, and revenue optimization strategies.

##

Our approach to Medicare routine foot care billing includes thorough documentation of qualifying systemic conditions, proper application of Q7, Q8, and Q9 modifiers, and verification of Class findings to support medical necessity. We ensure all requirements under the Medicare LCD for routine foot care are met, maintain precise documentation of nail pathology, and help implement templates that capture all required elements for coverage.

##

We specialize in therapeutic footwear and orthotic billing, ensuring compliance with Medicare Therapeutic Shoe Program requirements for diabetic patients. Our approach includes verifying proper certifying physician documentation, managing the specific diagnosis requirements, ensuring detailed prescriptions and statements of medical necessity, and coordinating supplier documentation. We also help implement efficient workflows for tracking the annual certification requirements.

##

Our podiatric surgery billing expertise includes pre-authorization management, proper bundling/unbundling based on NCCI edits, accurate modifier usage for multiple procedures, and detailed operative note review to support the specific procedures performed. We also track global periods for post-operative care, ensure appropriate E/M coding for services outside the global period, and manage appeals for surgery denials with comprehensive supporting documentation.

##

We have specialized expertise in podiatric wound care billing, including accurate coding for debridement services based on depth and size, proper documentation of wound measurements and characteristics, and appropriate use of active wound care management codes. We ensure compliance with frequency limitations, verify medical necessity documentation for advanced treatments, and help implement efficient tracking systems for wound healing progress to support ongoing care billing.

## Ready to optimize your podiatry revenue cycle?

Contact us today for a free consultation and learn how our specialized podiatry billing services can benefit your practice.

Request a Free Consultation

### How can we help you?

I can help with podiatry billing questions, insurance information, or scheduling assistance.