HCPCS Coding for Podiatry

Event Information
Product Format
Prerecorded Event
Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Conference Date
Tue, May 24, 2016
60 Minutes
Product Description

Simplifying the Intricacies of HCPCS Codes for Podiatry and its Documentation


Podiatry coding for procedures can be really complicated, but the rules and guidelines for coding orthotics, inserts, and diabetic shoes, just to name a few, are even more complex. It is important to understand and choose the appropriate HCPCS codes for these as well as know what insurance carriers will reimburse for and what will be the responsibility of the patient. Your practice could be losing valuable revenue if the reimbursement is not covering the costs.

In this audio conference, Lynn M. Anderanin, CPC, CPPM, CPC-I, COSC, will look at CMS references to assist in assigning the appropriate HCPCS code as well as what documentation is necessary for these supplies. She will review PDAC, NCDs, and DMERC LCDs, and will walk you through the confusion of the HCPCS codes.

There is a small profit margin in dispensing many of these supplies to patients whether they are customized or off the shelf. After this conference, you’ll have a better understanding of what is necessary to ensure that these supplies are reimbursed and not a revenue liability. It is crucial for a practice to be profitable in the area of DME by having a full understanding of insurance carrier policies and guidelines.

Session Highlights:

  • Understand custom, off the shelf and prefabricated with customization
  • Walk through the process for diabetic shoes
  • Learn how to utilize the PDAC for assigning HCPCS codes
  • Look at the documentation requirements for these supplies
  • Know when the patient will be responsible for the costs
  • Understand various DME terminologies
  • Custom Fabricated; Prefabricated; and Custom Fitted: Definitions
  • Furnishing of shoes requirements

 Session Snapshots:

  • Podiatry requirements
  • Durable Medical Equipment (DME) MACs
  • CMS references
  • DMEPDAC walkthrough
  • Conditions treated with Dermagraft
  • Conditions not reimbursed for Dermagraft
  • Dermagraft Coding
  • Diabetic Shoes
  • Diabetic Modifications 
  • Medicare Covers
  • Covered Shoes and Modifications
  • NGS Medicare Findings
  • L Code Reimbursement
  • Modifiers RT/LT
  • Moulds for Orthotics
  • CMS Documentation Requirements

Who should attend

Podiatrist, Orthopedic surgeons specializing in foot and ankle, coders, billers, managers, medical assistants, administrators

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.


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About Our Speaker

Lynn Anderanin - Orthopedic Guidelines Expert for ICD 10

Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, is the  Sr. Director of Coding Education for Healthcare Information Services, a physicians revenue cycle management company. She has over 35 years experience in all areas of the physician practice, and specializes in Orthopaedics.  Lynn is currently a  workshop and audio presenter. She is a  former member of the American Academy of Professional Coders (AAPC) National Advisory Board, and has served...   More Info
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