Podiatry CPT Codes: A Guide for Providers and Patients

Navigating the world of medical billing and coding can be complex, especially in specialized fields like podiatry. The Podiatry CPT Codes are Properly used for Current Procedural Terminology (CPT) codes and are essential for ensuring clean claims, timely reimbursements, and compliance with insurance requirements.

In this blog post, we’ll break down the key information from a recent podiatry CPT codes document, including authorization requirements, covered services, and a comprehensive list of codes used in foot and ankle care.

Authorization Requirements and Frequency of Covered Podiatric CPT Codes Services

Podiatrists must obtain prior authorization for certain services by contacting the Centers Plan for Healthy Living Utilization Management team at 1-844-292-4211 (Option 1) or by faxing requests to 1-718-581-5522. Note that authorization does not guarantee payment—claims must still be submitted correctly.

Podiatry CPT Codes
Get updated 2025 Podiatry CPT Codes List with the new Current Procedural Terminology codes

Member Eligibility

Providers are responsible for verifying member eligibility. This can be done by calling Member Services at (855) 270-1600 or via the online Provider Portal available 24/7.

Medically Necessary Podiatry

PlanAuthorization Requirement
MLTCNo Authorization Required
MAPDNo auth for first 4 visits/year; auth required thereafter
DSNPNo auth for first 4 visits/year; auth required thereafter
ISNPNo Authorization Required
MAPNo auth for first 4 visits/year; auth required thereafter

Not Medically Necessary (Routine) Podiatry

PlanAuthorization Requirement
MLTCNot covered unless it prevents medical complications*
MAPDNot covered unless it prevents medical complications*
DSNPNo auth required; limited to 4 visits per year
ISNPNo auth required; limited to 1 visit every 3 months
MAPNot covered unless it prevents medical complications*

Complications include diabetes, arthritis, vascular disease, and common foot issues like ingrown toenails, plantar fasciitis, ulcers, corns, calluses, and minor Achilles tendon tears. Prior authorization is required for routine care that prevents further complications. [Do checkout: Muscle Tag development]

Full List of Podiatry CPT Codes [September 2025]

Of course. Here are all the CPT and HCPCS codes extracted from the provided document, presented in a clean table format.

CodeDescription
10060INCISION AND DRAINAGE OF ABSCESS
10061INCISION AND DRAINAGE OF ABSCESS
10120INCISION AND REMOVAL OF FOREIGN BODY
10121INCISION AND REMOVAL OF FOREIGN BODY
10140INCISION AND DRAINAGE OF HEMATOMA, SEROMA
10160PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA
11102TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP)
11103TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP)
11104PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE)
11105PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE)
11106INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING…)
11107INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING…)
11420EXCISION, BENIGN LESION INCLUDING MARGINS
11421EXCISION, BENIGN LESION INCLUDING MARGINS
11422EXCISION, BENIGN LESION INCLUDING MARGINS
11423EXCISION, BENIGN LESION INCLUDING MARGINS
11720DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S)
11721DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S)
11730AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE
11732AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE
11740EVACUATION OF SUBUNGUAL HEMATOMA
11750EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE
11755BIOPSY OF NAIL UNIT (EG, PLATE, BED, MATRIX)
12001SIMPLE REPAIR OF SUPERFICIAL WOUNDS
12002SIMPLE REPAIR OF SUPERFICIAL WOUNDS
12004SIMPLE REPAIR OF SUPERFICIAL WOUNDS
12005SIMPLE REPAIR OF SUPERFICIAL WOUNDS
12020TREATMENT OF SUPERFICIAL WOUND DEHISCENCE
16000INITIAL TREATMENT, FIRST DEGREE BURN
17000DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY)
17003DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY)
17004DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY)
17110DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY)
17111DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY)
17250CHEMICAL CAUTERIZATION OF GRANULATION TISSUE
20600ARTHROCENTESIS, ASPIRATION AND/OR INJECTION
20612ASPIRATION AND/OR INJECTION OF GANGLION CYST
28001INCISION AND DRAINAGE, BURSA, FOOT
28008FASCIOTOMY, FOOT AND/OR TOE
28010TENOTOMY, PERCUTANEOUS, TOE; SINGLE TENDON
28011TENOTOMY, PERCUTANEOUS, TOE; MULTIPLE TENDONS
28020ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR DEBRIDEMENT
28022ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR DEBRIDEMENT
28024ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR DEBRIDEMENT
28090EXCISION OF LESION, TENDON, TENDON SHEATH
28092EXCISION OF LESION, TENDON, TENDON SHEATH
28100EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR
28104EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR
28280SYNDACTYLIZATION, TOES (EG, WEBBING OR FUSION)
28285CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL JOINT)
28292CORRECTION, HALLUX VALGUS (BUNIONECTOMY)
28302OSTEOTOMY; TALUS
28304OSTEOTOMY, TARSAL BONES, OTHER THAN CALCANEUS
28306OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING, OR ANGULAR CORRECTION
28308OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING, OR ANGULAR CORRECTION
28310OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION
28312OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION
28315SESAMOIDECTOMY, FIRST TOE (SEPARATE PROCEDURE)
28450TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS)
28455TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS)
28470CLOSED TREATMENT OF METATARSAL FRACTURE
28475CLOSED TREATMENT OF METATARSAL FRACTURE
28490CLOSED TREATMENT OF FRACTURE GREAT TOE
28495CLOSED TREATMENT OF FRACTURE GREAT TOE
28510CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES
28515CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES
28630CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION
28635CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION
28660CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION
28665CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION
28805AMPUTATION, FOOT; TRANSMETATARSAL
28810AMPUTATION, METATARSAL, WITH TOE, SINGLE
28820AMPUTATION, TOE; METATARSOPHALANGEAL JOINT
28825AMPUTATION, TOE; INTERPHALANGEAL JOINT
29405APPLICATION OF SHORT LEG CAST (BELOW KNEE)
29425APPLICATION OF SHORT LEG CAST (BELOW KNEE)
29580STRAPPING; UNNA BOOT
64450INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID
64455INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID
64632DESTRUCTION BY NEUROLYTIC AGENT; PLANTAR COMMON DIGITAL NERVE
64776EXCISION OF NEUROMA; DIGITAL NERVE, ONE
64778EXCISION OF NEUROMA; DIGITAL NERVE, EACH ADDITIONAL
64782EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT DIGITAL NERVE
64783EXCISION OF NEUROMA; HAND OR FOOT, EACH ADDITIONAL
73600RADIOLOGIC EXAMINATION, ANKLE; TWO VIEWS
73610RADIOLOGIC EXAMINATION, ANKLE; COMPLETE
73620RADIOLOGIC EXAMINATION, FOOT; TWO VIEWS
73630RADIOLOGIC EXAMINATION, FOOT; COMPLETE
73660RADIOLOGIC EXAMINATION; TOE(S), MINIMUM OF TWO VIEWS
81000URINALYSIS, BY DIP STICK OR TABLET REAGENT
81002URINALYSIS, BY DIP STICK OR TABLET REAGENT
81015URINALYSIS; MICROSCOPIC ONLY
85007BLOOD COUNT; BLOOD SMEAR, MICROSCOPIC EXAMINATION
85013BLOOD COUNT; SPUN MICROHEMATOCRIT
85018BLOOD COUNT; HEMOGLOBIN (HGB)
85025BLOOD COUNT; COMPLETE (CBC), AUTOMATED
85041BLOOD COUNT; RED BLOOD CELL (RBC), AUTOMATED
85048BLOOD COUNT; LEUKOCYTE (WBC), AUTOMATED
85651SEDIMENTATION RATE, ERYTHROCYTE; NON-AUTOMATED
85652SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED
99202OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99203OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99204OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99205OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99211OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99212OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99213OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99214OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99215OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99221INITIAL HOSPITAL CARE, PER DAY
99222INITIAL HOSPITAL CARE, PER DAY
99223INITIAL HOSPITAL CARE, PER DAY
99231SUBSEQUENT HOSPITAL CARE, PER DAY
99232SUBSEQUENT HOSPITAL CARE, PER DAY
99233SUBSEQUENT HOSPITAL CARE, PER DAY
99238HOSPITAL DISCHARGE DAY MANAGEMENT; 30 MINUTES OR LESS
99239HOSPITAL DISCHARGE DAY MANAGEMENT; MORE THAN 30 MINUTES
99281EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99282EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99283EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99284EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99285EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99304INITIAL NURSING FACILITY CARE, PER DAY
99305INITIAL NURSING FACILITY CARE, PER DAY
99306INITIAL NURSING FACILITY CARE, PER DAY
99307SUBSEQUENT NURSING FACILITY CARE, PER DAY
99308SUBSEQUENT NURSING FACILITY CARE, PER DAY
99309SUBSEQUENT NURSING FACILITY CARE, PER DAY
99310SUBSEQUENT NURSING FACILITY CARE, PER DAY
99324DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99325DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99326DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99327DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99328DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99334DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99335DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99336DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99337DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99341HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99342HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99343HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99344HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99345HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99347HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99348HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99349HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99350HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99417PROLONGED OFFICE OR OTHER OUTPATIENT SERVICE
G0108DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING
G0109DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING
T1013SIGN LANGUAGE OR ORAL INTERPRETIVE SERVICES

Note: Some code descriptions in the original PDF were truncated. This table includes the full intent of the code based on standard medical coding knowledge and the visible text fragments.

Podiatry CPT Codes List complete

FAQs: Podiatric CPT Codes

What are podiatry CPT codes?

CPT codes used for medical and surgical procedures performed on the foot and ankle by a podiatrist.

What is CPT code 27301 used for?

Injection of a therapeutic substance into the knee joint.

What is CPT code 28020?

A code for the surgical removal of a lesion on the foot, such as a corn or callus.

What is CPT code 99242 used for?

An outpatient consultation service with a detailed history and examination.

What is CPT 78813?

A nuclear medicine imaging procedure that combines PET and CT scans to track tumor metabolism.

What is CPT code 11720?

Debridement of a single nail, involving the removal of damaged tissue.

What is the CPT code 27310?

Arthrocentesis, the aspiration and/or injection of a major joint, like the knee.

What is CPT code 26991?

Amputation of a finger at the metacarpal bone level.

What is CPT code 27824?

Open treatment of a dislocated ankle, often including a fracture repair.

What is CPT code 28002?

Excision of a lesion on the foot’s fascia.

What is CPT 78012?

A thyroid uptake imaging study to evaluate thyroid gland function.

What is CPT 00790?

Anesthesia for shoulder cast application or removal.

What is CPT 99024 used for?

A code for a routine post-operative follow-up visit within the global surgery period.

Is 66984 a CPT code?

Yes, it is the CPT code for cataract surgery with an intraocular lens implant.

What is CPT 99202?

An office visit for a new patient requiring a straightforward medical decision.

What is CPT 95180?

Rapid desensitization procedure for allergies, such as to antibiotics like penicillin.

What is CPT 58970?

A salpingo-oophorectomy, the removal of an ovary and its fallopian tube.

What is CPT P9040?

This is an HCPCS Level II code, not a CPT code, for a unit of leukocyte-rich red blood cells.

What is CPT code 25500?

Closed treatment of a radial shaft fracture in the forearm without manipulation.

What is CPT 93246?

External mobile cardiovascular telemetry for monitoring heart rhythms over 24-48 hours.

What is CPT code 27712?

Open treatment of a tibial shaft fracture.

What is the CPT code 76820?

A Doppler ultrasound of a pregnant uterus.

What is the CPT code 27750?

Closed treatment of an ankle dislocation without a fracture.

What is CPT code 24470?

A code for the repair of a dislocated elbow.

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