August 2026 Monthly AFCNA Webinar-AFCNA_CPT CODES_Podiatry_NP

AFCNA_CPT CODES_Podiatry_NP_PDF 2026 04
Pdf Summary
This document is an educational CPT quick-reference guide for nurse practitioners in podiatry and foot care, updated March 2026. It summarizes common billable office, home visit, wound care, nail care, skin lesion, orthotics/DME, diagnostic, preventive, SDoH, and telehealth services, with notes on whether prior authorization is typically required.<br /><br />Key guidance includes:<br />- Billing must follow payer rules, state scope of practice, and facility policy.<br />- NPs should bill under their own NPI unless incident-to billing applies.<br />- Hospice patients require the correct Medicare modifier: GW if the service is unrelated to the terminal condition, or GV if the attending NP is not employed by hospice.<br />- SDoH should be documented with ICD-10 Z-codes alongside CPT codes; G0136 is the main billable SDoH risk assessment code.<br /><br />The guide lists common modifiers such as 25, 59, GW, GV, GT, 95, RT, LT, KX, GY, 52, and 76, and explains their common use in podiatry and foot care.<br /><br />It then provides grouped code tables for:<br />- E/M office visits and home visits/home health recertification<br />- Nail procedures, including trimming, debridement, avulsion, and permanent nail removal<br />- Local anesthesia for nail surgery<br />- Wound care and debridement, including NPWT and ultrasound therapy<br />- Skin lesion and soft tissue procedures<br />- Orthotics, casts, splints, and diabetic footwear<br />- Diagnostic testing such as ABI, vascular studies, nerve conduction, gait testing, and diabetic foot exams<br />- SDoH-related care management and ICD-10 Z-codes for housing, food insecurity, isolation, access barriers, and nonadherence<br />- Preventive counseling, nutrition therapy, smoking cessation, and patient education<br />- Telehealth, digital visits, phone visits, image review, virtual check-ins, and remote physiologic monitoring<br /><br />The document ends with a disclaimer that coding and reimbursement rules change regularly and should be verified with current AMA/CMS and payer policies.
Keywords
CPT
podiatry
nurse practitioners
foot care
billing
modifiers
wound care
telehealth
orthotics
SDoH