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How Medicare Documentation Changes Are Impacting Podiatry Billing in 2026

Michael Caputo

Medicare's 2026 updates to the Physician Fee Schedule bring documentation and reimbursement shifts that podiatry practices must address to protect revenue and maintain compliance.

Increased Documentation Scrutiny

Missing or unclear documentation remains the leading cause of Medicare denials in podiatry. In 2026, CMS places greater emphasis on records proving medical necessity, requiring:

Clear linkage between diagnosis and treatment

Progress notes supporting the billed care level

Documentation of systemic conditions such as diabetes and neuropathy

Justification for routine foot care services

Practices that rely on generic templates or incomplete notes face higher denial rates and audit exposure.

Skin Substitute Payment Changes

CMS shifted most skin substitute reimbursement to an **incident-to supply model**, replacing ASP-based payments. Claims must now document:

Wound size, depth, and progressionDetailed measurements at each visit

Prior conservative treatment failuresEvidence that alternatives were tried first

Medical necessity for skin substitute useClear clinical rationale

Supply-to-procedure linkageConnecting the product to the specific service

This change affects wound care practices significantly and requires updated billing workflows.

Physician Fee Schedule Updates

The 2026 MPFS includes modest conversion factor increases and RVU updates. However, documentation must still support:

Work RVU justificationRecords reflecting the complexity of services performed

Modifier usageCorrect application of podiatry-specific modifiers

Highest appropriate coding levelSupported by documentation, not assumptions

Telehealth Documentation

Virtual visits remain available but require records reflecting:

Service type and modalityAudio vs. audio/video clearly indicated

Medical necessitySame standard as in-person encounters

Correct place-of-service and modifiersTelehealth-specific coding requirements

MIPS Quality Reporting

Updated MIPS requirements tie documentation to reimbursement through:

Preventive foot care metricsTracking outcomes for at-risk populations

Chronic condition managementDocumenting ongoing care coordination

Performance thresholdsMeeting benchmarks that affect future payment adjustments

Best Practices for 2026

Standardize EHR templatesEnsure they capture all required data points

Train providers on updated requirementsRegular education sessions on CMS changes

Conduct internal documentation auditsCatch gaps before payers do

Monitor wound care and telehealth claimsTwo areas receiving heightened scrutiny

Partner with experienced billing professionalsSpecialty-specific expertise matters more than ever

Conclusion

Medicare's 2026 changes reflect a broader push toward accountability and value-based care. Practices that adapt documentation workflows accordingly can reduce denials, sustain revenue, and avoid costly audit findings. The practices that treat compliance as an ongoing process — not an annual checkbox — will be best positioned for the year ahead.

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