Podiatry Billing Services
Effortless and Impactful Billing
Between frequent updates and stringent medical necessity guidelines, billing for podiatrists presents special coding challenges. To guarantee correct claims, fewer denials, and enhanced revenue flow, EZ MedBill supplies professional podiatry billing services.
Impactful Podiatry Coding and Billing
Podiatrists are supposed to manage a wide range of foot related issues, which can be chronic and acute, but not all the provided services can be reimbursed. Many of the podiatry procedures are subjected to a strict medical criteria, making precise and correct coding essential. The complications of the scenario highlights the criticality of skiing closely to established podiatry coding guidelines to ensure compliance and proper reimbursement.
At EZ MedBill, use of precise coding is important for a clean submission of claim and proper payments in podiatry. Utilization of the correct CPT, ICD-10, AND HCPCS codes allow for proper diagnosis and appropriate treatment with minimized denials. Some of the procedures are supposed to use multiple codes, while any other may be bundled under more complex solutions, depending on what are the guidelines.
To make it easier to ensure that the provider is effectively reimbursed for the services rendered, modifiers give players extra information. Although they are not applicable for all CPT code categories, multiple modifiers may be used with just one procedure code when appropriate. Certain modifiers are indistinguishable with other categories, and others can only be used with a specific category.
Why Should You Outsource to EZ MedBill
By outsourcing your podiatry billing provides a significant advantage to healthcare practitioners. Collaboration with EZ MedBill allows practices to gain access to expert coding, reduce denials of claims, and enhance the overall revenue cycle mitigation system. Lessening the administrative burden, allows your in-house staff to put more focus on caring for patients. Practices may maintain greater efficiency and financial health with full billing support, which includes accurate claim submission, prior approval, and appeals.
Your podiatry practice will be successful if you have specific billing needs. We know how to handle all parts of medical billing and business administration so that your practice runs smoothly.
Coding Required for Podiatry Coding and Billing
- For regular examinations with systemic conditions that are medically necessary to be reimbursed by Medicare, but only six times a year, the CPT code 11721 (Covered Nail Debridement 6 or more) requires the Q8 modifier.
- Podiatry modifiers include T1 to T9 (toe modifiers), with the notable exception of CPT codes 97598, 11720, and 11721, which will result in denials if used.
- Podiatry billing frequently employs HCPCS codes J3301 and J1100 (injection procedures), which also generate a sizable amount of income for providers.
- 20552 for injections, one or two muscles, and one or more trigger points.
- 20553 for injections, three or more muscles, and one to several trigger points.
- 20605 for injections, aspiration, and/or arthrocentesis.
- 20610 for injection, aspiration, or arthrocentesis.
- 76881 for nonvascular, real-time, ultrasound, extremity, and image documentation.
- 76882 for real-time, non-vascular, limited ultrasound with image documentation on the fingertips.
- 93922 for bilateral, single-level, non-invasive biological studies of the arteries in the upper or lower extremities.
- 93926 for arterial bypass grafts or a duplex scan of the arteries in the lower part of the body.
Get Started Today
Let our Podiatry billing specialists take care of your revenue while you focus on patient care.
