Re: Looking for Answers: L3000 Denials
What would be helpful is knowing which insurance plan these denials are coming from. Have you communicated with them and asked them why suddenly this happened?
More than likely this is a computer glitch. The reason, because the Medically Unncessary Edits (MUE) set a limit on how many units or times a HCPCS code can be billed on the same date. However, there are exceptions, such as for Left or Right. And since billing pairs of a HCPCS unit should not, according to HIPAA billing standards, be billed on the same line, you are submitting the claims correctly.
However, the exception the MUE may not have been encoded or may have been stripped out of the insurer's system. Hence the denials.
—Paul Kesselman, DPM
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—Coding Pearls from Dr. Warshaw—
Re: Looking for Answers: L3000 Denials
Sorry for the confusion with my initial response. There was a typo. My bad!
With respect to the initial explanation where the "NU" modifier is present, please eliminate the "NU" modifier. The NU modifier is defined as “New Equipment.” This modifier is not needed to refile the claim.
Once again, with respect to the Fix:
Leave Line 1 alone. On Line 2 (L3000-LT), append modifier XS (Separate Structure) or modifier 59 (Distinct Procedural Service).
The Sequence:
Line 1: (Already Paid): L3000-RT
Line 2 (The Correction): L3000-LT, XS (or L3000-LT, 59)
—Michael G. Warshaw, DPM, CPC
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You’re now receiving the podiatry sector’s newest source of timely and reliable information about everything from medical breakthroughs to practice management strategies. Share PM Pulse with your colleagues, and let us know how we can keep improving by emailing [email protected]
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Keeping Your Cybersecurity in Check
October is Cybersecurity Awareness Month. With more elements than ever to consider, here are some basic things you should do now, at your office and on your personal devices.
—Melissa Thornton, CISSP, C|CISO
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From the Magazine—October ‘26 Preview
Marketing Metrics That Matter
When it comes to collecting and analyzing data on your practice, the sky’s the limit. Everything can be collected and analyzed. How many patients came through the door? Done. Number of new patients per day, week, month, year? Done. Revenue per patient? Done.
If you have the kind of mind that craves more and more data, almost anything is up for grabs. But with limited time and resources, it makes much more sense to focus on specific metrics that support your goals.
This article will focus on the marketing metrics that will drive growth in your practice, which excludes many other business metrics that can and should be analyzed, but for different reasons.
What portion of your patients are routine foot care?
APMA Submits Comments on ICD-10-CM Improvements
APMA submitted comments to the National Center for Health Statistics at the Centers for Disease Control and Prevention regarding improvements to the ICD-10-CM coding system for diabetic foot ulcers. The comments support more accurate coding and documentation for diabetic foot ulcers to better reflect the care podiatric physicians provide. This advocacy arose from work the Wound Care Collaborative Community has done with support from APMA.
Source: APMA
FDA 510(k) Clearance for Combined Use of Restrata Matrix and Solventum VAC Therapy
Solventum has announced that the U.S. Food and Drug Administration (FDA) has granted 510(k) clearance for the combined use of Restrata™ Synthetic Electrospun Fiber Matrix and Solventum™ V.A.C.® Therapy*. Following Solventum’s acquisition of Acera Surgical in December 2025, this regulatory milestone brings two advanced technologies together into one path to support active wound healing.
Source: Solventum
Webinar—Painful Diabetic Neuropathy: Beyond Opioids
During this free presentation on Thursday, November 19 at noon ET, Sallee Randolph, DPM, DAPM, FACPM, will provide clinicians with a practical approach to recognizing and evaluating painful diabetic peripheral neuropathy (DPN). Participants will learn to distinguish diabetic neuropathy from other potential causes of pain, avoid inappropriate escalation to opioid therapy, and identify patients who require specialty referral for further evaluation and management.
Source: PRESENT Podiatry
The Future of Foot & Ankle Surgery
Foot and ankle problems can impact everything from work and exercise to everyday activities. Jesse Doty, MD, of Integrity Orthopedics in Chattanooga, Tennessee discusses his passion for foot and ankle surgery, the patients who inspire him most, and the advances he's witnessed during more than a decade in practice.
Source: NewsChannel9.com
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PM Pulse Classified Ads
30-Year Podiatry Practice—Kansas City, Missouri
Priced below appraisal. Established hospital-campus practice with strong referrals and 25,000 patient records. Fully equipped with digital X-ray and EMR. Staff staying on. Open four days, with demand for five. Retiring physician will assist with transition. A rare turnkey opportunity. Confidential inquiries: [email protected]
Traveling Podiatrist Needed—New York
Seeking a podiatrist for full-time or part-time work traveling to locations throughout New York, primarily assisted living facilities. Provide foot and ankle care. Starting pay: $100–$120 per hour, plus performance-based bonuses. Travel and gas expenses compensated. To apply, please call (516) 482-7775, option 5, ask for Avi for more information.
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