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Podiatry Coding Alert

Fracture Coding and Casts:
Facilitate These Coding and Casting Tips for Fractures
Beware: E/M codes are not always billable. When a patient comes in with a broken ankle, y... Read more
Compliance:
Understand the 5 Challenges Remote Workers Face
Craft effective policies to maintain compliance. Remote workers face several challenges... Read more
Practice Management:
Improve Provider, Coder, Biller Relations, Improve Outcomes and Revenue
Three different roles, the same shared goals. In her presentation “Documenting and Co... Read more
You Be the Coder:
Code These Diabetic Ulcers and Complications Correctly
Question: My podiatrist is treating a patient who has diabetes and peripheral angiopa... Read more
Reader Questions:
Remember to Add Modifier 58 to This Claim
Question: A diabetic patient presented with a 3 cm ulcer on the plantar surface of th... Read more
Reader Questions:
Be Aware of Malware
Question: What exactly is keylogger software, and how can we avoid this type of secur... Read more
Reader Questions:
Distinguish NCD From LCD
Question: What's the difference between a national coverage determi­nation (NCD) an... Read more
Lesions:
Ensure Your Foot Care Coding Skills Are More Than Surface-Level
Focusing on the language used in medical notes is key to coding correctly. When it comes ... Read more
Artificial Intelligence:
Ask These Questions When Searching for an AI Coding System — Part 2
Will the price point deter future adopters? Last month, Podiatry Coding Alert examined s... Read more
Practice Management:
Study These Strategies for Setting Up a Solid CDI Process
Understand the benefits of regular self-audits. Comprehensive clinical documentation is t... Read more
Reader Questions:
Familiarize Yourself With Free Sample Best Practices
Question: The doctors in our practice often provide our patients with complimentary s... Read more
Reader Questions:
Don’t Step Over This 2025 ICD-10 Update
Question: Are there any upcoming revisions or ICD-10 changes related to podiatry that... Read more
You Be the Coder:
Navigate This Needle Placement X-Ray
Question: The patient came in complaining of persistent pain in the right ankle. Afte... Read more
Fracture Coding:
Know Ankle Anatomy, Fracture Types for Optimal Coding
Do you know what a trimalleolar fracture involves? Patients reporting to the podiatrist f... Read more
Artificial Intelligence:
Ask These Questions When Searching for an AI Coding System – Part 1
Can NLP decipher language differences between doctors? Choosing the right artificial int... Read more
Telehealth Updates:
Keep Up With These Changes to Post-PHE Telehealth
And get ready for telehealth codes to change again in 2025. During her HEALTHCON 2024 pre... Read more
Reader Questions:
Catch the Difference Between Corn Removal Codes
Question: The podiatrist performed a surgical removal of a corn on the patient's left... Read more
Reader Questions:
Beware of Damaging Disclaimers
Question: One of the physicians at our practice uses dictation software, and the vend... Read more
Reader Questions:
Distinguish Medical Identity Theft From Other Types of Fraud
Question: Is medical identity theft a type of fraudulent claim? Minnesota Subscribe... Read more
You Be the Coder:
Solve This Prickly Heel Spur Scenario
Question: A 45-year-old patient has been experiencing chronic heel pain for several m... Read more
Surgery Spotlight:
Help the Slipper Fit by Coding Cinderella Surgeries Correctly
Whether for cosmetic or therapeutic purposes, these procedures can prove essential. Cinde... Read more
Denials:
Fight for Your Right to Appeal and Win
Insurance companies aren't advocating for your office; that's your job. During her HEALTH... Read more
Employee Productivity:
Consider These Tips to Monitor Employee Productivity
Hint: Look at workers' records over a defined period of time. Practice managers know tha... Read more
Reader Questions:
Code This Ligament Repair With Confidence
Question: The podiatrist performed a repair of a disrupted ankle ligament. There are ... Read more
Reader Questions:
Beware Side Hustle Solicitations
Question: A colleague who works at the front desk has a “side hustle” pet-sitting... Read more
Reader Questions:
Always Remain HIPAA Compliant
Question: One of the physicians in my practice demands we use a sign-in sheet — he... Read more
You Be the Coder:
Factor in These Fracture Codes
Question: I'm new to podiatry coding. Could you please explain the difference between... Read more
Condition Coding Tips:
Follow These 5 Tips for Successful Morton’s Neuroma Claims
Understanding different intervention options is key to coding this condition. It's likel... Read more
E/M Coding:
Answer the How, What, When and Why for Preoperative Evaluations
Don't forget to check for comorbid conditions. Knowing how to navigate and select all of... Read more
Practice Management:
Prepare Your Practice to Support Trans Patients and Staff Members
Embracing and supporting all people in your practice is key. Providing optimal care for... Read more
Reader Questions:
Maintain Your Understanding of MUEs
Question: Could you please clarify what “MUE” means and explain how it impacts m... Read more
Reader Questions:
Review the Risk of Calling Out Patient Names and PHI
Question: Is it OK to call out full names in a waiting room? Can you ask for “Nancy... Read more
Reader Questions:
Add Modifier 51 Only When Appropriate
Question: We have a coder who puts modifier 51 on almost all claims for procedures. H... Read more
You Be the Coder:
Understand the Difference Between Open and Percutaneous Tenotomies
Question: My podiatrist carried out a tenotomy procedure to correct a hammertoe defor... Read more
Condition Spotlight:
Handle Your Heel Spur Claims Like a Pro
Tip: Calcaneal spurs and heel spurs are one and the same. If your podiatrist performs sur... Read more
Image Coding:
Analyze This Ankle Arthrography Procedure
Find out how to code this arthrogram in your podiatry practice. When traditional joint X-... Read more
Revenue:
Capture These Tips to Stall Denials
Make sure your billing team feels empowered to communicate well. Denials easily cross t... Read more
Reader Questions:
Avoid the Fog of Coding Anesthesia Time Correctly
Question: Can you explain how to calculate and report anesthesia charges? When you key in... Read more
Reader Questions:
Code This Complication Dx Correctly
Question: If a patient suffers from an intra- or postoperative complication involving blee... Read more
Reader Questions:
Gather the Info for This Skin Graft Procedure
Question: I am attempting to identify the appropriate ICD-10-CM code that would justify th... Read more
You Be the Coder:
Verify This Volleyball Misstep
Question: The patient came in with extreme pain and swelling of their left heel. The patie... Read more
Diabetic Foot Care:
Get the Answers to Your Frequently Asked Diabetic Foot Care Questions
Hint: a diabetes diagnosis is a requirement for both shoe prescriptions and foot care. Wh... Read more
Case Study Corner:
Brush Up on Your Fracture Coding Skills With This Case Study
Remember to add an external cause code to your claim. From slight fissures to clean brea... Read more
Clarification:
Take Note of These APMA Clarifications
The American Podiatric Medical Association (APMA) recently brought to our attention two cl... Read more
Staffing:
Examine Your Practitioner-to-Coder Ratio
Find out why experience matters in coder productivity numbers. Figuring out how many co... Read more
Reader Questions:
Crack This Contracture Case
Question: The practitioner's notes indicate that the patient was treated for a “co... Read more
Reader Questions:
Peek at This Palindromic Rheumatism Case
Question: The notes from my podiatrist reveal that a patient has been diagnosed with ... Read more
Reader Questions:
Understand the 5 Levels of Appealing Medicare Denials
Question: I filed a claim for a Part B patient with my Medicare Administrative Contra... Read more
You Be the Coder:
Code This Same Foot, Separate Fracture Scenario
Question: My podiatrist's notes indicate that they performed closed treatment on a pa... Read more
Case Study:
Resolve This Office Visit for Toe Injury Case
Distinguish between new and existing patients to assign the appropriate E/M code. Injurie... Read more
X-rays:
Grasp Foot and Toe Modifiers for Legitimate X-Ray Compensation
Understanding the different modifiers is key to claim success. When a patient comes to y... Read more
Compliance:
Improve Telehealth Compliance in Your Post-PHE Practice
Contracted vendors are still required to comply with HIPAA regulations. Following the COV... Read more
Reader Questions:
Correctly Code This Ankle/Toe Loose Bodies Case
Question: Notes indicate that the podiatrist performed a level-four office evaluation... Read more
Reader Questions:
Unravel This Curious Toe Tangle
Question: The physician removed a “hair tourniquet” of human hair wound tightly a... Read more
Reader Questions:
Be Aware of Medicare Redetermination Timeline
Question: We are quickly approaching the 120-day deadline to submit a redetermination... Read more
You Be the Coder:
Solve This Age-Old Osteoporosis Case
Question: My podiatrist's notes indicate that they performed an office evaluation and... Read more
Case Study:
Solve This Compression Fracture Case in 3 Steps
Be ready to consult three books to correctly code this scenario. In your podiatry practi... Read more
Quiz:
Resolve Ankle and Foot Effusion Coding Dilemmas by Answering These 8 Questions
Identifying the affected area is key to accurately coding this condition. In order to acc... Read more
Medicare Tips:
Avoid a Snag With These Medicare Signature Tips
Questionable signatures need resolution before claim submission. In your podiatry pract... Read more
Reader Questions:
Amputation Location is Key to Coding Correctly
Question: I'm new to podiatry coding, and I'm trying to understand the difference bet... Read more
Reader Questions:
Protect Your Practice’s Digital Signatures
Question: In our recent risk evaluation, we discovered that the electronic signature... Read more
Reader Questions:
Solve This Calcaneal Spur Conundrum
Question: The podiatrist carried out a removal of the calcaneal spur and released the... Read more
You Be the Coder:
Sidestep Contusion Confusion With These Codes
Question: Our foot specialist recently examined a patient presenting with a bruise on... Read more
2024 MPFS:
Strengthen Your Understanding of the 2024 Physician Fee Schedule
CMS makes good on its earlier proposals. In July 2023, the Centers for Medicare & Med... Read more
Q&A:
Take the Pressure Off Coding Non-Pressure Ulcers With This Q&A
Consider the ulcer's type and condition upon admission. Encounters involving non-pressure... Read more
Billing:
Waiving Copays May Do More Harm Than Good
This financial convenience could lead to major complications. Naturally, healthcare prof... Read more
Reader Question:
Identify This Achilles Tendon Injection Situation
Question: The patient was brought to the table and laid in prone position. Their righ... Read more
Reader Question:
Unreachable Patients May Leave Unclaimed Funds
Question: In an audit, I found out that my practice overcharged a patient. We mailed ... Read more
Reader Question:
Expect Medicare Payment Only With a Taxonomy Code
Question: I just found out that CMS has a taxonomy of providers. What does this mean?... Read more
You Be the Coder:
Tackle This Os Trigonum Treatment Scenario
Question: The patient, a professional volleyball player, was born with an os trigonum... Read more
Podiatry Coding:
Distinguish the Differences Between Walking Boot HCPCS Codes
Question: I'm curious about the distinction between codes L4360 and L4361. My vendor ... Read more
Podiatry Coding:
Code These Diabetic Ulcers and Complications in the Correct Order
Question:  My podiatrist is treating a patient with diabetes who is also sufferi... Read more
Podiatry Coding:
Master Routine Foot Care Coding
Patient and practitioner education are key to successful claim payment. When it comes to ... Read more
Podiatry Coding:
Code This Fasciotomy Case Correctly
Question: The podiatrist performed a surgical cut on the sole of a patient's foot, re... Read more
Podiatry Coding:
Correctly Capture This Bunionectomy Code
Question: My podiatrist performed a surgical cut over the patient's metatarsophalange... Read more
Podiatry Coding:
Review 3 Achilles Tendon Repair Scenarios to Tighten Your Skills
Preparing for a range of possibilities is crucial for smart Achilles repair coding. When ... Read more
Podiatry Coding:
Remember the 6th Character When Coding Joint Effusion Dx
Question: I have a medical record that lists the diagnosis as “effusion of the left ankl... Read more
Podiatry Coding:
Stabilize Your Plantar Fasciitis Coding Knowledge
Question: An established patient presented to their podiatrist for treatment of their plan... Read more
Podiatry Coding:
Warm Up Your Winter Injury Coding With 3 Cases
Find out if you need to report activity codes. Snow, ice, and cold temperatures can contr... Read more
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