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Podiatric procedures present some of the most complex and misunderstood coding scenarios in outpatient surgical settings. This session breaks down the essentials of surgical coding for podiatry—covering the anatomy, CPT hierarchy, bundling guidelines, and documentation requirements that coders must understand to ensure accurate claims and compliant reporting. From nail avulsions to complex reconstructive procedures, attendees will learn how to navigate the nuances that affect reimbursement and compliance.

Learning Objectives/Agenda

• Identify key CPT codes used in podiatric surgery, including soft tissue and bone procedures.
• Apply correct modifier usage for bilateral, staged, and repeat procedures.
• Recognize bundling and unbundling rules specific to podiatry and lower-extremity procedures.
• Interpret operative notes to ensure proper code selection and documentation alignment.
• Understand medical necessity requirements and payer expectations for common podiatric surgeries.

Why is this topic important?

With podiatric procedures under increasing scrutiny from payers and auditors, accurate coding and documentation have never been more critical. Denials related to modifier misuse and insufficient documentation are common in foot and ankle surgery claims. As payer policies evolve, coders, auditors, and billers need up-to-date guidance to protect revenue and ensure compliance.

Who would benefit from this topic?

• Medical Coders
• Medical Auditors
• Billers and Billing Managers
• Practice Managers
• Compliance Officers
• Revenue Cycle Professionals

What is the presenter's background/expertise on this topic?

Jennifer has over 20 years of experience in healthcare coding and auditing with extensive expertise in surgical specialties—including orthopedics and podiatry. As an educator, consultant, and speaker, she specializes in translating complex documentation and compliance rules into practical coding knowledge. Her work through Healthcare Inspired LLC focuses on helping practices improve efficiency, compliance, and revenue integrity through targeted training and education

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