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Specialty Billing

Podiatry Billing Services

Podiatry Medical Billing & Coding Services

Get a Free Billing Audit 346-307-9057

Specialty Focus

Podiatry Billing That Captures What You've Earned

Podiatry has some of the most payer-specific billing rules in medicine. Routine foot care, hammertoe surgery, custom orthotics, and diabetic shoe billing each carry specific documentation thresholds and coverage criteria. Without specialty expertise, claims are routinely undercoded or denied.

Our podiatry billing team understands the Class Finding rules for routine foot care, the diabetic shoe fitting billing process, and the surgical global period rules for nail avulsion and hammertoe procedures. We keep your cash flow consistent and your compliance risk low.

97%
First-Pass Clean Claim Rate
24h
Average Claim Submission
40%
Average A/R Reduction
What We Handle

Key Billing Areas for Podiatry Practices

Every billing area below is managed by a specialist trained in your specialty's CPT, ICD-10, and payer requirements.

Routine foot care Class Finding billing
Surgical procedure coding (bunion, hammertoe)
Diabetic shoe & insert billing
Custom orthotics claims (HCPCS L-codes)
Nail avulsion & debridement billing
Wound care coding
HIPAA-compliant processing
Monthly performance reporting
Electronic remittance posting
Monthly performance reporting
Why Partner With Us

Built for Podiatry Billing Complexity

Specialty-Trained Coders

Our billers are trained in your specialty's CPT codes, ICD-10 diagnoses, and payer-specific rules — not generalists working across 50 specialties.

97%+ Clean Claim Rate

We scrub and submit clean claims the first time, reducing rework, accelerating payment, and improving your net collection rate.

24-Hour Denial Recovery

Every denied claim is reviewed within 24 hours, root cause identified, corrected, and re-submitted before payer appeal deadlines close.

Full HIPAA Compliance

Encrypted data handling, a signed Business Associate Agreement, and annual compliance audits — your patients' information is always protected.

Maximize Your Podiatry Revenue

Get a free billing audit and find out exactly how much revenue your practice could be recovering. No contracts, no obligation — just results.

HIPAA Compliant  •  No Long-Term Contracts  •  Results in 30 Days

Common Questions

Podiatry Billing — FAQ

Answers to the questions Podiatry practices ask us most before partnering with Prime Medical Billing.

Medicare only covers routine foot care (nail trimming, callus debridement) when the patient has a qualifying systemic condition like diabetes, peripheral arterial disease, or peripheral neuropathy — and documentation must explicitly link the foot condition to the systemic disease. We review every routine foot care claim for medical necessity documentation before submission.
Yes. Diabetic foot care billing requires specific ICD-10 codes linking diabetes to the foot condition and adherence to the "class findings" documentation requirements for higher-risk patients. We train practices on the exact documentation needed and audit charts to ensure every qualifying encounter is billed correctly.
Absolutely. Custom foot orthotics, ankle-foot orthotics (AFOs), and related DME require HCPCS Level II codes, Certificate of Medical Necessity, and prior authorization from many payers. We manage the full DME billing workflow including CMN completion, auth submission, and HCPCS coding.
Medicaid podiatry coverage varies significantly by state — some states cover routine care broadly, others restrict it severely. We maintain a state-by-state Medicaid podiatry coverage matrix and verify benefits before billing to prevent write-offs on non-covered services.