Medicare compliance: Since podiatrists diagnose and treat foot, ankle, leg and lower back, coders are required to be aware of the specific anatomical information. Type and state of encounter also needs to be well documented so that coders capture the real scenario Thus it is very important to append the proper Anatomic Modifier to CPT codes on claims when required to avoid unnecessary denials If a procedure is billed that may require bilateral procedures, and if later in time you bill for the other side, your claim may be denied if you had not mentioned the anatomical site in the previous billing. Use of Anatomic Modifiers for podiatric procedures is very essential for reimbursement. Infections resistant to antibiotics require additional codingĭiseases that affect the Musculoskeletal system and connective tissue now have site and laterality designations that have specific codes to be employed when documenting Terminology- certain medical terminology to reflect certain medical conditions are now more specific in the ICD-10-CM coding as against the ICD-9-CM coding Moreover, the data now documented includes:Īn initial encounter, a subsequent encounterĭifferent stages of healing or unhealed- normal, delayed, non-union or malunionĬertain changes to be aware of when employing the ICD-10 coding for Podiatry, which will affect podiatry billing and thereby revenues, with respect to specific areas are: In podiatry coding, nearly one-third of the ICD-10 codes match the ICD-9 codes, and the exception is the introduction of laterality or if the right or left side of the anatomy has been affected. The ICD-10 coding system introduces 68,000 codes. Further, ICD-9 had only 13000 codes and could not keep up with the newly developed procedures and advances in medical technologies. With ICD-10 coding, documentation of clinical information will get better documented, especially regarding the patient’s health condition.
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