Podiatry Billing

Podiatry Billing with INFINITI RCM: Enhancing Accuracy and Efficiency

Podiatry, the specialized field of medicine dedicated to the diagnosis and treatment of foot, ankle, and lower extremity disorders, requires precise and meticulous billing processes. Accurate billing is crucial to ensure proper reimbursement and financial stability for your practice. INFINITI RCM specializes in podiatry billing, leveraging our expertise to navigate the complexities of coding, diagnosis, and modifiers, allowing you to focus on patient care.

The Intricacies of Podiatry Billing

Podiatry billing is unique due to the specific nature of the procedures and treatments involved. Understanding the appropriate use of CPT codes, ICD-10 diagnosis codes, and modifiers is essential for accurate and efficient billing.

Common CPT Codes for Podiatry Services

Current Procedural Terminology (CPT) codes are used to describe medical, surgical, and diagnostic services. In podiatry, some of the most commonly used CPT codes include:

  • 11055: Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus); single lesion. This code is used for removing a single corn or callus.
  • 11720: Debridement of nail(s) by any method; 1 to 5. Used for the debridement of up to five nails.
  • 28285: Correction, hammertoe (e.g., interphalangeal fusion, partial or total phalangectomy). This code covers the surgical correction of a hammertoe.
  • 99203: Office or other outpatient visit for the evaluation and management of a new patient, 30 minutes. Used for new patient visits involving evaluation and management.
Key ICD-10 Diagnosis Codes for Podiatry

Accurate diagnosis coding is critical for justifying the medical necessity of podiatry services. Common ICD-10 diagnosis codes in this field include:

  • L84: Corns and callosities. This code covers the presence of corns and calluses on the feet.
  • M79.674: Pain in right toe(s). Used for pain localized to the right toe(s).
  • M20.4: Other hammer toe(s) (acquired). Covers acquired hammer toes.
  • B35.1: Tinea unguium. This code is used for fungal infections of the nails.
Comprehensive Revenue Cycle Management

INFINITI RCM offers a full suite of services that cover every aspect of the revenue cycle, ensuring your podiatry practice’s billing is managed efficiently and effectively. Our services include:

  • Patient Registration and Insurance Verification: Ensuring accurate patient information and verifying insurance coverage to prevent claim denials.
  • Charge Entry and Claims Submission: Accurately entering charges and submitting claims promptly to maximize reimbursements.
  • Payment Posting and Denial Management: Posting payments accurately and managing denials effectively to ensure your practice receives the revenue it deserves.
  • Compliance Monitoring: Ensuring that your practice adheres to all relevant regulations and guidelines, reducing the risk of audits and penalties.
Why Choose INFINITI RCM for Podiatry Billing?
  • Specialized Expertise: Our team of certified coders and billing specialists is well-versed in the complexities of podiatry billing, ensuring accurate and efficient claim processing.
  • Technology Integration: We utilize advanced billing software that integrates seamlessly with your practice management system, enhancing accuracy and efficiency.
  • Compliance Focus: We prioritize compliance with healthcare regulations, reducing your risk of audits and ensuring that your practice operates within legal guidelines.
  • Enhanced Revenue: By minimizing claim denials and maximizing reimbursements, we help improve your practice’s financial health.
Conclusion

Podiatry billing is intricate and demands specialized knowledge and attention to detail. INFINITI RCM is your trusted partner in navigating these challenges, offering expertise in CPT coding, ICD-10 diagnosis coding, and modifier usage, combined with comprehensive revenue cycle management. Let us handle your billing so you can focus on providing exceptional care to your patients.

For more information on how INFINITI RCM can support your podiatry practice, contact us today and take the first step towards streamlined and successful billing.