Foot and ankle practices are a challenge for many general practices: modifier 25 disputes on an E/M visit for a minor procedure, LT/RT toe modifiers that have to match op notes precisely, and payers who routinely challenge the medical necessity of nail debridement or orthotics. This is because podiatric medical billing services are created specifically for this line of work and will address these issues before the claim is sent out, rather than after it is denied. That means reduced resubmissions, claims documentation that is already associated with each CPT, and a claims team already familiar with the fact that Medicare treats routine foot care differently than most specialties.