1. D

    Question Pilon vs Trimalleolar Fx

    Good morning! I need some help in deciding if this is a Pilon Fx-27828- and ankle dislocation with IF-27848- (per what the doctor is requesting) or if this should be coded as a trimalleolar ORIF. I've gone back and forth with this any help or advice will be appreciate....below is the OP note...
  2. M

    Question Code for overgrown toenails

    I'm having trouble figuring out what code to use for the diagnosis of "overgrown toenails". There doesn't seem to be a specific code for that, the closest thing I can find is L60.8, other nail disorders. Is this correct?
  3. C

    Question Coding education in Podiatry?

    Where do all of you go for Podiatry coding references and education?? What coding companion books do you use as well?? Any advice would be helpful! Thanks! ilona
  4. J

    URGENT: Podiatry Coder Needed

    Aviacode is in URGENT need of IP/OP remote multi-specialty pro-fee coder that is an expert in PODIATRY coding (part-time). DOMESTIC coders only. Please see details of project and how to log your experience HERE: https://goo.gl/K8MLoH
  5. A

    Billing Q codes with multiple units

    What are the maximum amount of units payable for Q codes (example: Q4045) by insurance companies? When my doctor puts a splint on a patient, our billing department is trying to bill multiple units of supply Q codes to one splint application code for reimbursement. For example: Dr. places a...
  6. M

    Class B findings podiatry

    I've read a lot of forums on the Class B finding but im seeing mixed answers on this. I have a new provider who said it has to be 2 of the 4 for pulses. So she wanted to do Posterior pulses absent bilaterally. Which makes sense to me. Do others agree with this. I've read a lot on it and to...
  7. J


    I work for an FQHC in California we keep getting denials from one of our payers; when our billers bill 11721 with 1105, 11056 or 11057. Claims state that 11721 is not separately payable, that a modifier is needed and that 11055-11057 are exclusive when billed with 11721. I am so confused...
  8. J

    Midfoot Amputation

    Is 28800 or 28805 the right code for midfoot amputation? OP note attached
  9. D

    Arthrex Interna Brace reconstruction for pes plano valgus deformity

    New to podiatry coding (25 year+ Ortho background) struggling with (among other things!): Medial displacement osteotomy os calcis - (confident) 28300 Debridement posterior tibial tendon tear Tranfer flexor digitorum longus to navicular (confident) 27691 Reconstruction spring ligament...
  10. B

    Podiatrist billing Medi-cal California

    I need help I am working for a Podiatrist that is seeing medi-cal pts for 11720 or 11721 and we can't get paid we first billed B35.1 which is needs to be a secondary code per Medi-cal guidelines so I rebilled claim with L60.3 and B35.1 as secondary and we are still getting denied. We have the...
  11. S

    PLEASE HELP - Pre and post debridement measurements with callus

    I have providers in a podiatry clinic who are documenting 0 x 0 x 0 sq cm as the pre-debridement measurements when a callus is overlying an ulcer and then they document the size of the underlying ulcer post-debridement. They state that they cannot measure the wound before the debridement, since...
  12. M

    Muscle Repair of the foot

    Hello, I code primarily hand surgeries, but we get the occasional foot. And the difference in CPT codes is astounding! One of our surgeons performed an ORIF of the Calcanus and metatarsals. He also repaired the foot muscles. I don't see any codes for repair of the muscles, just tendons and...
  13. J

    Sesamoiditis injection

    I have a provider who gave a patient an injection for sesamoiditis. 20552 is coming back denied for medical necessity. Any ideas about what the appropriate code should be? I thought about 20600 or 20551.
  14. K

    Does partnership pay 11719

    Does Partnership EVER pay for 11719? Is it constantly denied because it's considered routine? I keep getting denials with all different DX and I'm new to podiatry so I'm trying to navigate through all the guidelines.....HELP
  15. D

    Humana and DMEs

    Please help. My podiatry practice bills out for DME products such as post-op shoes and pneumatic walkers. Humana has lately been denying them for incorrect modifiers. We have used LT, RT, Medicare modifiers, any modifiers we can find to try to get these paid for. Has anyone else had this...
  16. D

    Foot/Ankle Seminars

    I am looking for any foot & ankle seminars in the Phoenix area (or southern AZ) to attend. Anyone know of any? It should cover coding, anatomy etc Thanks! :cool: