Medical Billing / Podiatry
Podiatry Billing
Medicare covers routine foot care only for qualifying patients, so the class findings must be on every claim. Physicians Professional Billing Services, Inc. has billed for physician practices since 1998.
Key Codes
| Codes | Service | Common Denial |
|---|---|---|
| 11720, 11721 | Nail debridement | Missing class findings (Q7, Q8, Q9) |
| 11055 to 11057 | Corns and calluses | Frequency limits |
| G0127 | Trimming of dystrophic nails | Qualifying condition not documented |
| 11042, 97597 | Foot wound debridement | Measurements missing |
| 28000 Series | Foot and ankle surgery | Global period modifiers |
Get a Free Billing Review
Other specialties: Wound Care and Hyperbaric Medicine · Dermatology · Neurology and Neurosurgery · General Surgery · Plastic Surgery
Sources: CMS Physician Fee Schedule · CMS Benefit Policy Manual, Chapter 15, Section 290 (Foot Care). Updated November 1, 2026.
PECS and Physicians Professional Billing Services, Inc. are related businesses, and PECS may receive a referral fee. You pay nothing extra.