Podiatry CPT Codes and Modifiers for 2025
May 23, 2025
Podiatry practices address a wide range of conditions, from diabetic foot care and routine nail trimming to fracture repair and complex surgeries. Correct use of Podiatry CPT codes and modifiers for 2025 is essential to ensure appropriate reimbursement and maintain compliance.
Evaluation & Management (E/M) Codes
| CPT Code | Description |
|---|---|
| 99202–99205 | New patient office visits (levels 2–5) |
| 99212–99215 | Established patient office visits (levels 2–5) |
Routine Foot Care Services
| CPT Code | Description |
|---|---|
| 11719 | Trimming of non-dystrophic nails |
| 11720 | Debridement of 1–5 nails |
| 11721 | Debridement of 6+ nails |
| 11055 | Paring or cutting of benign hyperkeratotic lesion, single lesion |
| 11056 | Paring of 2–4 lesions |
| 11057 | Paring of 5 or more lesions |
Common In-Office Procedures
| CPT Code | Description |
|---|---|
| 11730 | Avulsion of nail plate |
| 11732 | Each additional nail plate avulsed |
| 27687 | Excision of lesion, tendon sheath/joint capsule |
| 28285 | Hammertoe repair |
| 28119 | Ostectomy, calcaneus |
| 20550 | Injection of tendon sheath, ligament, or cyst |
Surgical Procedures (Advanced)
| CPT Code | Description |
|---|---|
| 28292 | Hallux valgus correction with bunionectomy |
| 28297 | Total ankle replacement |
| 27650 | Primary repair of Achilles tendon |
| 28740 | Arthrodesis, midtarsal or tarsometatarsal joint |
Podiatry Modifiers
| Modifier | Description |
|---|---|
| -25 | Significant, separately identifiable E/M service |
| -59 | Distinct procedural service |
| -LT / -RT | Left foot / Right foot |
| -Q7 | One class A finding (routine foot care) |
| -Q8 | Two class B findings |
| -Q9 | One class B and two class C findings |
| -GA | Waiver of liability on file (ABN issued) |
Common ICD-10 Codes in Podiatry
| ICD-10 Code | Description |
|---|---|
| L84 | Corns and callosities |
| M72.2 | Plantar fasciitis |
| M20.11 | Hallux valgus, right foot |
| M79.671 | Pain in right foot |
| M79.672 | Pain in left foot |
| E11.42 | Type 2 diabetes mellitus with polyneuropathy |
| I73.9 | Peripheral vascular disease, unspecified |
| L60.0 | Ingrowing nail |
Podiatry Billing Tips for 2025
Final Thoughts
Podiatry billing requires precision and thorough documentation—especially for routine care, surgeries, and diabetic foot management. Mastering Podiatry CPT codes and modifiers for 2025 helps ensure accurate reimbursement while maintaining full compliance with Medicare and commercial payer guidelines.
For informational purposes only.
Contact us
“My husband and I have a small practice but we were looking for a medical billing company to consult us. We originally started with a local company with some satisfaction. However, our biggest problem was that they wanted us to change our existing EMR to software that they worked with. Quest National Services worked with our existing software so that we didn’t have to make expensive changes to our infrastructure. That saved us a lot of time and headache. I would definitely say that was one of the main reasons for why we switched and why we continue to work with Quest. As a small practice, they helped us without draining our resources.”
Adriana C.
