Podiatry and Foot Care: Coding, Special Coverage & Reimbursement Guidelines for 2016

Event Information
Product Format
Prerecorded Event
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
60 minutes
Product Description

Expert Guidance on Podiatry and Foot Care Coding and Reimbursement for 2016


Procedures and services related to the foot are very specific and can be quite confusing because of the medical necessity requirements and restrictions on the conditions that can be treated. Medicare as well as other insurance carriers have specific policies related to nail debridement, treatment of corns and calluses, flat foot, and bunions, just to name a few conditions.

There are many ins and outs to services provided by a podiatrist or orthopedic surgeon specializing in foot and ankle, or a general practitioner treating conditions of the foot and ankle. Because of these special coverage guidelines, it is important for offices to know and understand what will be covered by insurance and what the patient will be responsible for, so that you get the deserved payment from the responsible party. It is also essential to understand the services themselves to choose the appropriate codes for reimbursement, and special instructions on the completion of the CMS-1500 form for some foot care procedures.

In this session, expert speaker Lynn M. Anderanin, CPC, CPPM, CPC-I, COSC, will discuss these regulations and guidelines to offer a better understanding of when these services will be payable. You will learn about which CPT® and ICD-10 codes to know when the patient will be responsible for services.

 Session Highlights:

  • Current status from insurance carriers on the controversial procedure of ankle arthroplasty
  • The different methods of correction of bunions
  • When is it routine foot care and when is it medically necessary?
  • The use of dermagrafts for treatment of wounds and ulcers of the feet
  • Proper documentation and process for the dispensing of diabetic shoes
  • Claim form requirements for foot care that are unique

 Presentation Snapshot:

  • Routine foot care not covered by Medicare
  • CMS covered diagnoses
  • Additional covered diagnoses
  • Special not for covered diagnoses
  • Class finding modifiers
  • Q Modifiers
  • Plantar Fasciitis visits and injections
  • Bunion CPT® Coding
  • Hallux Valgus visit
  • Diabetic Neuropathy
  • LOPS initial and follow-up exams
  • Diabetes – 4th and 5th character extensions
  • Medicare expecatations
  • And more!

Who should attend?

  • Podiatrists
  • Orthopedic surgeons
  • Medical assistants
  • Coders
  • Billers
  • Administrators
  • Office managers
  • Revenue cycle staff
  • Non physician practitioners


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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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