“After watching some E/M presentations, it was suggested that hospital consultations should be billed with CPT 99252-CPT 99255. When we billed these codes, our EMR system and our clearing house rejected the codes. They are saying effective 1/1/2010, CMS has announced that they will reject codes. Are we billing the right codes?”
by Cindy Pezza, PMAC, CEO Pinnacle Practice Achievement
February 17, 2026
By justina
0 Comments
Podiatrists who own their practices are continually investing in them. By choice as well as necessity, there is never a shortage of line items in the expense column. Tangible supplies that keep clinic sessions running are a given, while others, like software upgrades and new capital equipment are an investment in the future. But, what about non-monetary investments that may have an even greater impact on success? First and foremost, and perhaps the most valuable, time. When we run out of time, there is no “order again” button. No one understands this more in podiatry practices than physician owners.
“I have a patient who had a bunionectomy. The patient was diagnosed with a post- operative infection within the global period which required evaluation and management. I billed Medicare for an office visit, but Medicare will not pay. What am I doing wrong? I used 24 as a modifier.”