“Can you describe what is a “sufficiently detailed exam” to confirm the diagnosis of peripheral arterial disease? I was audited and the debridement of calluses were denied even documentation of every single class finding were listed. Are we supposed to do ankle brachial indexes, Buerger’s test, etc? Why have class findings if they do not qualify as “sufficiently detailed?”
CPT code 11755 is defined as the following: Biopsy of nail unit (e.g. plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure).
It is amazing to me how often this CPT code is misused and abused.
The Hidden Constraint on Healthcare AI: Why Memory Matters for Clinicians
Artificial intelligence is increasingly embedded in clinical practice—from radiology and pathology to clinical decision support and workflow automation. While much of the conversation focuses on accuracy and outcomes, a less visible factor is beginning to shape how quickly these tools reach the bedside: computer memory.
1. Are podiatrists allowed to perform a fall risk exam only in specific cases (in patients over 65, ones with prior history of falling, etc.) or general wellness exam G0438?
Question #1: Podiatrists are certainly able to perform an annual fall risk assessment. The Centers for Disease Control and Prevention (CDC) and the American Geriatric Society recommend yearly fall assessment screening for all adults 65 years of age and older. If the screening shows you are at risk, you may need an assessment. A fall risk assessment should be offered to older people who have had one or more falls in the past year or demonstrate abnormalities of gait and/or balance.