For Dates of Service Before January 1, 2023

Procedure Codes

The podiatry services maximum allowable fee schedule lists the most current allowable procedure codes for podiatry service providers. Not all services identified by CPT or HCPCS codes are covered. Other CPT and HCPCS codes have limitations (for example, require PA). Providers are required to use the most current podiatry fee schedule in conjunction with the most current CPT and HCPCS references to determine coverage of services.

The following table lists the current allowable procedure codes and descriptions for covered podiatry services.

Service Current Procedural Terminology Codes Allowable Modifier(s)
Surgery 10060–10061, 10120–10180, 11000–11001, 11040–11043, 11055–11057*, 11100–11101, 11200–11201, 11300–11311, 11400–11426, 11620–11626, 11719*, 11720–11765, 11900–11901, 12001–12005, 12020, 12041–12044, 13160, 15000, 15050–15261, 15275–15276, 15350, 15365, 15400, 15786–15787, 16000–16010, 17000–17250, 20000–20005, 20103, 20200–20205, 20520–20525, 20550, 20600–20606*, 20612, 20670–20680  
20816 80
20924, 27603–27630  
27637 80
27638, 27647–27703, 27707, 27808–27829, 27830–27871  
27880 80
27881–27899, 28001–28288, 28289–28299*, 28300–28360, 28400*, 28405–28531, 28540–28636, 28645–28666, 28675–28760, 28800–28805, 28810–28825, 28899, 29305–29445, 29450*, 29505–29515, 29540–29581, 29700–29740, 29750*, 29799  
29891–29892 80
29895–29898 80
29899–29905  
29906 80
29907–29999  
29893* 80
64450, 64455, 64632, 64640, 64704, 64774  
Radiology 73600–73610 TC, 26
73615 26
73620–73660 TC, 26
Pathology and Laboratory 81000–81015, 81025–81099, 82108, 82310–82330, 82728, 83015  
83715 TC, 26
84100, 84550, 85007, 85009, 85014–85041, 86316–86318  
86329–86332 TC, 26
87003–87045, 87070, 87075–87076, 87081–87106, 87109–87147, 87158  
87164–87166 TC, 26
87176–87184, 87186–87197, 87205–87206  
87207 TC, 26
87210–87253, 87260–87272, 87274, 87276, 87278, 87280, 87285–87299, 87301–87324, 87328–87335, 87340, 87350–87391, 87420–87425, 87430–87450, 87471–87799  
87999 TC, 26
88230–88239, 88245–88248, 88263, 88269, 88283, 88289  
88358–88362 26
88365  
Medicine 90782, 90788, 97012–97139, 97597–97598  
99000–99001  
99070, 99199  
Evaluation and Management 99202–99203, G2212**, 99211–99213, 99221–99222, 99231–99232, 99234–99239  
99241–99242, 99251–99252, 99261–99262  
99281, 99301–99316, 99341–99350, 99499  

* May be billed as a bilateral procedure with modifier "50" in Item Number 24D of the 1500 Health Insurance Claim Form.
** Procedure code G2212 is covered as an add-on procedure code to procedure codes 99205 and 99215.

Service Healthcare Common Procedure Coding System Codes Allowable Modifier(s)
Medical and Surgical Supplies A4490–A4510, A6244  
Procedures/Professional Services G0127, G0306–G0307  
Drugs Administered Other Than Oral Method J0131, J0290, J0295, J0690, J0696, J0697, J0702, J0715, J1020, J1030, J1040, J1094 J1100, J1170, J1642, J1650, J1885, J2001, J2250, J2270, J2405, J2920, J2930, J3010, J3301, J3302, J3420, J3490, J3590, J7120, J9040  
Routine Foot Care S0390 U1, U2, U3
Q Codes (Temporary) Q4029–Q4048, Q4101, Q4106  
Temporary National Codes (Non-Medicare) S0017–S0021, S0030–S0077, S0081  
S3645–S3650  
S8035 TC, 26