Editor’s Note
In the 10.22.26 edition of PM Pulse, we published a link to a news item that featured an orthopedic surgeon discussing recent foot and ankle surgery trends. We did not intend this to be an endorsement of orthopedic surgeons, nor were we trying to diminish DPMs in any way. The posting was merely meant to illustrate how people in the FAS realm are currently viewing and talking about the procedure.
However, we do understand why the Podiatry Management audience might see this as a slight to DPMs and the podiatry profession, and going forward we will exercise greater discretion around the medical stories we choose to feature.
To submit a response or another coding question, email [email protected].
Re: Looking for Answers: L3000 Denials
This was an issue with Blue Cross and Blue Shield of Texas (commercial). And we are using new correct ICD10 codes for plantar Fasciitis. Would the XS do anything to bypass the confusion of the denial codes?
—George Bakatsas, DPM
I respectfully must disagree with Dr. Warshaw. The XS or 59 modifiers have no place in billing foot orthotics.
—Paul Kesselman DPM
To ask a question or add your thoughts, email [email protected].
Welcome to Our New Subscribers!
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]

Getting Reimbursed for Modifier 22
Question: I want to get paid more for certain procedures and I would like advice how to most effectively get reimbursed for Modifier 22?
Response from Codinghelpline.com:
The best recommendation is to bill your surgery for all the CPT codes you performed. Once paid file an appeal. The appeal letter should look something like this and could service as a template for this and future Modifier 22 cases.
—David J Freedman, DPM, CPC, CSFAC, CPMA
To read this entire article, click the button below. To ask a question or add your thoughts, email [email protected].
—PM Pulse Exclusive—
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
To read this entire article, click the button below. To ask a question or add your thoughts, email [email protected].
What portion of your patients are routine foot care?
From the Magazine—October ‘26 Preview
The Rules of Practice Growth Have Changed
For decades, practice growth followed a familiar formula: Deliver excellent clinical care, build strong relationships with referring physicians, establish a trusted reputation in the community, and new patients would come.
For many podiatrists, that formula worked remarkably well. Today, something feels different…
This is not a cause for alarm. It is a call to adapt.

Before a patient takes off a shoe, a medical assistant has usually noticed something already. They see the limp that wasn't there at the last visit, the sock that has stuck to a dressing, and the follow-up that never made it onto the schedule.
This is Medical Assistants Recognition Week, set aside for the profession every October by @aamaofficial.
The Bureau of Labor Statistics counts about 833,900 medical assistants in the US and expects the field to grow 13% by 2035, much faster than most occupations. In a podiatry practice, the same person might take a history, record vital signs, prepare a patient for a debridement, explain an insurance form and restock the supply closet. Most of that work goes unnoticed when it goes right, which is exactly why this week is worth marking.
Give your medical assistants a big thank you by tagging them in the comments.
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
Video: Understanding Neuromas and CRPS
In this lecture, Gabriela Yurkanin DPM, FACFAS, delves into the distinct and overlapping pathophysiological mechanisms of painful neuromas and CRPS, with a focus on peripheral and central sensitization processes. Dr. Yurkanin will review current diagnostic strategies, including clinical criteria, imaging modalities, and adjunctive testing, to accurately identify these challenging pain conditions and distinguish them from other sources of chronic pain. CME (Credits: 0.5)
Source: PRESENT Podiatry
Get the Conversations Started!
PM Pulse wants to hear from you! Submit your questions, concerns, and opinions to [email protected] to share and receive feedback from your colleagues and peers about all aspects of the podiatry sector. All submissions must meet our standards for professionalism and decorum, and submissions may be edited for length and clarity. Still have questions? Send us an email.
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.
For more information about submitting a classified ad, click the button below, or email [email protected].
Before You Go:
We want to get your thoughts on our exciting new direction, and we’d love to hear your ideas about the topics, programs, content, and people you’d like to see more of on this page and in Podiatry Management magazine.













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