Podiatry Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

Our podiatry billing services are built on a strong understanding of the specialty’s distinct procedural and coding requirements. We provide reliable support for clinics, hospitals, and private practices to manage billing with accuracy and efficiency. As podiatric care evolves with advanced surgical techniques, we ensure accurate coding, streamlined claims processing, and ongoing compliance with current industry standards.

Podiatry Billing Services

Maximizing claim efficiency and compliance for superior revenue management

  • Our podiatry billing services provide end-to-end support tailored to the specialized needs of podiatric care. From coding and claims submission to follow-up and payment posting, we manage the full billing lifecycle with precision and consistency.
  • Staffed by experienced billing professionals, we deliver high-quality results without compromising efficiency—regardless of practice size or volume. Our services are designed to reduce administrative burden while ensuring accurate reimbursement and regulatory alignment
  • Streamlined management of podiatry-specific billing and coding
  • Skilled support to enhance claims accuracy and reduce rejections
  •  Reliable processing systems that prioritize efficiency and compliance



We provide comprehensive medical billing solutions across a wide range of podiatry sub-specialties, ensuring accurate coding and efficient claim handling for each distinct area of care. Our team is proficient in managing the specialized billing needs associated with complex podiatric procedures.


Sub-specialties we support include:

• Reconstructive rear-foot and ankle surgery

• Podiatric sports medicine

• Diabetic limb preservation and wound management

• Pediatric podiatry services

• Forensic podiatry case documentation and billing


Our podiatry billing specialists ensure precise and compliant CPT coding, aligning each claim with the latest guidelines to reduce denials and improve claims acceptance. By applying the correct modifiers and coding protocols, we streamline the billing process and support accurate reimbursement for even the most complex procedures.


  • 76881 – Diagnostic ultrasound of an extremity (non-vascular), performed in real time with image documentation
  • 93922 – Non-invasive physiologic studies of upper or lower extremity arteries
  • 20552 – Injection(s) for one or two muscle trigger points
  • 20605 – Arthrocentesis, aspiration, and/or injection of an intermediate joint


the entire claims process—ensuring accurate submissions, faster turnaround times, and minimized denials. Our experienced billing team focuses on detail-oriented claim handling, allowing providers to concentrate on delivering exceptional foot and ankle care.


What Sets Us Apart:

  • Proven expertise in managing claims with major insurers, including UnitedHealthcare, Aetna, Humana, and Blue Cross
  • Full alignment with current and emerging regulatory standards, including ICD-10 and HIPAA 5010


Our commitment to operational accuracy and compliance empowers podiatry practices to maintain steady reimbursements and uninterrupted administrative efficiency.

Podiatry billing services enable practices to adapt to industry changes and streamline operations. With skilled specialists, advanced software, and a strong history of compliant, precise billing, podiatric providers can prioritize patient care over administrative burdens.


  • Improved efficiency in diagnosis and treatment documentation
  • Accurate, compliant billing to support practice needs
  • Proactive management of evolving billing requirements

Mastering Every Code for Podiatry Specialty

Our expertise spans the full code range, ensuring precision and compliance in every claim we process

Orthotics Codes

L3020

Custom orthotic materials (OR002)

L3030

Custom orthotic materials (OR003)

L3040

Custom orthotic materials (OR004)

Nail Care and Nail Procedures Codes

11720, 11721

Toenail trim

11730, 11731

Debridement of nail(s)

11740

Total nail avulsion

In-Clinic Services Codes

99203, 99204

Office Visit New Patient

99213, 99214

Office Visit Established

20550

Injection tendon sheath/ligament

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.