Toenail debridement is a fancy way of saying “removing damaged or diseased parts of your toenail,” which can be necessary whether you have a fungus or bruised toenail. It’s a procedure podiatrists perform to relieve pain, address underlying conditions like fungal infections, and prevent further problems.
If you’re a healthcare provider performing this procedure, it’s essential to understand the proper coding and billing, especially when dealing with Medicare. Accurate coding ensures you get reimbursed correctly and stay compliant with regulations. Medicare, in particular, has specific guidelines for when they’ll cover toenail debridement.
In this article, we’ll break down the CPT codes you’ll use for toenail debridement, explain Medicare’s coverage policies, and outline the documentation you’ll need to ensure proper reimbursement.