Podiatry
This page is a central location for podiatry information, including CMS resources.
Spotlight
Policy Information
Not all services have a policy associated with them. We will consider Reasonable and Necessary Guidelines in the absence of an LCD, billing and coding article, NCD, or CMS manual instruction that limits coverage.
- CMS IOM Pub.100-01 Medicare General Information, Eligibility, and Entitlement Manual, Chapter 5, Section 70.3
- CMS IOM Pub.100-04 Medicare Claims Processing Manual, Chapter 6, Section 80.A
LCDs
Learn more about the LCD development process through the following:
Search for podiatry-related LCDs using these available resources:
- LCD Interactive Index Tool
- View active / proposed LCDs on CMS Medicare Coverage Database (MCD)
NCDs
Search for podiatry-related NCDs using these available tools:
Medical Documentation
For a claim to be valid, documentation must demonstrate compliance with all applicable coverage, coding and billing requirements and substantiate the level of care billed. The following resources are specific to podiatry, but may not address all required medical documentation requirements:
- Medical Documentation Checklists
- Targeted Probe and Educate Round Results: Surgical Services - Nail Cutting / Pairing and Debridement (CPT 11055-11057, 11719-11721 & HCPC G0127)
Additional Information
- View our FastTrack to Medicare Coverage Policies Tool to locate guidelines
CMS
Education
View our wide selection of free, live and on-demand training options:
- View our upcoming Educational Events Calendar
- View On-demand Learning
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