Practice Management and RCM Billing Built for Podiatry

Podiatry billing is governed by some of the most restrictive Medicare exclusion policies in medicine, with routine foot care services covered only when specific systemic conditions and Q-modifiers document at-risk patient status. Practices that fail to apply Q-modifiers correctly or that exceed nail debridement frequency limits face widespread denials, while diabetic shoe and surgical global period billing add further layers of complexity.

Medicare excludes routine foot care - including most nail trimming and callus debridement - unless the patient has a qualifying systemic condition such as diabetes with peripheral neuropathy, documented using Q7, Q8, or Q9 modifiers along with a supporting class findings diagnosis. Diabetic shoe and insert billing falls under DME rules with separate certifying physician documentation requirements, while surgical procedures like bunionectomies and hammertoe repairs carry 90-day global periods that must be tracked to avoid billing for related postoperative visits.