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Podiatry Coding & Billing Alert

Gait Analysis:

96000-96004 Survival Guide: 3 Simple Rules for Claims Success

Published on Fri May 18, 2012

Hint: Don't bill the gait analysis code if the podiatrist only performed one component of the procedure.
For podiatrists, a gait analysis claim is not always a walk in the park. For a successful claim, you've got to know the codes, know your carrier's rules, and know exactly which services your podiatrist provided.
Study this gait analysis billing scenario to prevent your office from taking a fall when reporting these diagnostic services.
Question: We billed a motion analysis with dynamic plantar measurements (96001) and the doctor's interpretation and report of the results (96004) to Blue Cross Blue Shield. The carrier denied the claim. We performed the test here at our facility, and the doctor reviewed and interpreted the results. Are we billing the codes incorrectly? Should we append a modifier to 96001?
Answer: No, you are not billing the codes incorrectly. The problem is that Blue [...]
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