August 2026 Monthly 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

podiatry CPT

nurse practitioner billing

foot care coding

wound care debridement

nail procedure codes

orthotics DME

diagnostic vascular testing

social determinants of health

telehealth billing

Medicare modifiers