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Podiatry practices operate in a billing environment that frequently leaves them with claims that are incorrectly bundled, the use of modifier rejections, and medical necessity denials that occur prior to claims being adjudicated. Podiatry billing and coding is one of the more complex specialties to bill accurately due to routine care limitations, LCD policy compliance, and procedure-specific documentation requirements. Practices with a focused coding methodology that has been customized around payer-specific rules begin to avoid these avoidable denials and lose no reimbursement at all for each patient encounter.