Podiatry Coding & Billing Alert
Shed Light on These Podiatry Documentation Hot Spots
The nature of podiatry procedures places increased importance on documentation compared to other specialties. Here are some highly audited areas to pay particular attention to:
o Documentation must describe symptoms and complaint that establishes medical necessity.
o Always indicate the size, grade, depth and appearance of ulcers and wounds.
o Make sure you precisely list the type and dose of the anesthetic used. And if it’s not used, document the reason why.
o Document post-op and follow-up instructions.
o Indicate tissue or material removed from wound, which determines your code.
o Chart the location of the wound.
o Document type of anesthesia.
Podiatry Coding & Billing Alert
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