Podiatry Billing

Podiatry Medical Billing Services

Your time belongs to your patients, not your paperwork. Medivantek billing helps podiatry practices maximize revenue with precise coding, fast claim turnaround, and denial-proof billing processes. Addition: powered by cutting-edge technology and expert knowledge.

Smarter Billing for Every Step—From Routine Foot Care to Reconstructive Surgery
Get a Free Podiatry Billing Audit

Why Podiatry Billing Requires Experts

Podiatry billing isn’t general practice billing with foot codes slapped on. It’s a specialty with complex requirements around medical necessity, modifier use (Q7, Q8, Q9, 25, 59), and CMS’s tight rules on routine foot care. We specialize in podiatric procedure coding (11721, 11055, 20680), diabetic foot ulcer billing, and custom orthotic claims to ensure full compliance and optimized payments.
Whether you’re a solo DPM or managing a multi-location group, we align our process to your EMR, surgical workflow, and payer mix.

Podiatry Billing

Common Podiatry Billing Mistakes Costing You Revenue

Here’s what we see too often when podiatry billing isn’t specialized:

Routine foot care billed without meeting LCD requirements
Incorrect bundling of strapping, casting, and injection procedures
Delayed or missing ABNs for non-covered services
Overlooking proper use of modifiers to bypass CMS bundling edits
Missing Q modifiers (Q7-Q9) on Medicare foot care claims
Medical necessity not documented for debridements.
Missed billing for X-rays, nail avulsions, and DME

How Medivantek Fixes These Billing Challenges

We submit clean claims within 24–48 business hours
We assign Q modifiers appropriately and monitor LCD changes
We handle DME claims, ABNs, and orthotic billing end-to-end
We provide documentation guidance to pass payer audits
We track denial patterns monthly and fight every appeal
Our coders are trained in podiatry-specific CPTs and ICD-10

Full-Scope Podiatry Billing Services

Debridement, Nail & Skin Procedure Coding

We ensure accurate CPT coding for common podiatry procedures like 11042, 11720, and 11730—complete with modifiers and medical necessity documentation to prevent denials.

Insurance Eligibility & Verification

We verify podiatry benefits upfront, checking LCDs, preventive foot care exclusions, and Medicare rules to minimize coverage issues and claim rejections.

Electronic Claims Submission & Payment Posting

We streamline podiatry billing by submitting clean claims via central clearinghouses and reconciling ERAs/EOBs with real-time payment posting.

Wound Care & Diabetic Ulcer Billing

Our team specializes in billing for chronic foot wounds and diabetic ulcers, including CPTs 97597, 11043, 97605/97606, and skin substitutes like Apligraf.

DME & Custom Orthotic Billing

We handle full DME and orthotics billing from HCPCS codes like A5500 to CPTs for L-codes, casting, custom insoles, and ankle-foot braces.

Spec Coding Medivantek
ABN Management & Modifier Use

We generate and track ABNs, applying correct modifiers (e.g., GA, GX, Q8) to keep podiatry billing compliant and audit-ready.

Denial Management & Appeals

Get faster reimbursements with our proactive denial resolution workflows, custom aging dashboards, and payer-specific appeals for podiatry claims.

Monthly Coding & Compliance Reports

We send you detailed podiatry billing reports showing rejection trends, CPT utilization, payer turnaround times, and revenue benchmarks.

Real Results We Give to Podiatry Practices

  • 99.3% first-pass claim acceptance
  • 40% reduction in denied claims within 90 days
  • Over $30M in podiatry claims billed in the past 12 months
  • Experience across Medicare, Medicaid, BCBS, UHC, Aetna, and more
  • Credentialing support for over 500 DPMs nationwide

Provider Types We Support

We serve all types of podiatry care settings:

  • Solo Podiatry Practices
  • Diabetic Wound Care Clinics
  • Mobile Podiatry Services
  • Ambulatory Surgery Centers (ASCs)
  • Foot & Ankle Surgical Centers
  • Sports Injury & Rehab Clinics
  • Multispecialty Ortho & DPM Groups

Step Into Revenue Growth with Smarter Billing

Let Medivantek Medical Billing simplify your billing, fight your denials, and help your practice grow—while you focus on getting your patients back on their feet.

Request a Free Podiatry Billing Consultation

Frequently Asked
Questions (FAQs)

Yes. we correctly code and document procedures like 11720, 11721, 11730, 11750 using Q modifiers when necessary.

We review LCDs, apply Q7–Q9 modifiers, and confirm systemic conditions that support medical necessity.

Yes, including G0245-G0247, 11042-11047, and NPWT CPTs like 97605/97606.

Absolutely. We handle coding, modifiers, and compliance for L3000-series inserts, braces, and diabetic footwear.

We track payer policies and alert your team when an ABN is needed to avoid patient balance issues.

Yes. we track all denials, identify root causes, and resubmit corrected claims or appeal when necessary.

We do. We track surgery dates and ensure post-op visits and bundled procedures aren’t denied.
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Serving Bridgeport And Surrounding Communities
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