Billing and Coding: Routine Foot Care

Routine foot care is covered only when clinical documentation shows the service is medically necessary and that withholding care would be hazardous to the beneficiary, in accordance with CMS Pub 100-02, Ch.15, §290. Medical records must clearly document diagnosis, findings, and rationale; for specified complicating (asterisked) conditions the primary MD/DO and approximate last-visit date must be recorded on the record and claim form. Claims lacking required documentation or not meeting CMS criteria may be denied; services may be provided by appropriately certified physicians, podiatrists, or non-physician practitioners per state licensure.

"Routine foot care is covered only when clinical documentation demonstrates the patient’s condition warrants the provider to render the services and that failure to provide the services would be haz..."

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