Billing, Coding, and Documentation for Digital Procedures: Avoid Audits and Clawbacks - Make sure You are Doing it Right (and Left) - Michael Warshaw, DPM, CPC

Course Overview

This program provides a comprehensive, compliance-focused review of billing, coding, and documentation for common digital procedures in podiatric practice. Emphasis is placed on accurate application of CPT coding definitions, adherence to National Correct Coding Initiative (NCCI) edits, and proper documentation to mitigate audit risk and prevent reimbursement clawbacks. Through procedure-specific examples—including nail surgery, hammertoe correction, tenotomy, digital amputations, hallux rigidus procedures, sesamoidectomy, Morton’s neuroma excision, and treatment of fractures and dislocations—participants will refine their ability to code complex encounters appropriately. The session also highlights common billing pitfalls, such as improper use of repeat procedure codes and misuse of pathology billing, while reinforcing best practices for compliant documentation aligned with current regulatory expectations.

Learning Objectives

Apply CPT coding definitions and NCCI edit principles to accurately report digital procedures and avoid improper code unbundling or duplication.

Differentiate appropriate versus non-compliant billing practices for common podiatric scenarios, including repeat nail procedures and pathology submission of nail specimens.

Evaluate documentation and coding requirements for digital surgical procedures—such as hammertoe correction, tenotomy, and soft tissue reconstruction—to ensure accurate reporting and reduce audit and recoupment risk.

Components

This course provides for 1.45 CME

Estimated time to complete the activity - The program will take approximately 1 hour and 29 minutes to complete

The course was originally released in 2026

There is a post assessment quiz and a survey at the end of the event. A score of 76% or better is required to pass the course


			Course Staff

About the Speaker

Michael G. Warshaw, DPM

Dr. Warshaw is a practicing podiatrist and a Certified Professional Coder with over 25 years of successful coding, management, and training experience for podiatric practices. He is a national lecturer concerning coding issues. Dr. Warshaw has participated in| all facets of the Medicare Appeals Process, including Redeterminations, Reconsiderations, and Administrative Law Judge Hearings, as well as the appeals processes of most commercial insurance companies and state Medicaid programs. Dr. Warshaw is the author of The Podiatry Coding Manual, a comprehensive coding manual specific for podiatry that is updated annually.

Compliance Statement

In accordance with the Council on Podiatric Medical Education's Standards and Requirements for Accreditation of Providers of Continuing Education in Podiatric Medicine, any relevant financial relationships with commercial interests of faculty, planning committee, or any others who have influence over the content of this educational activity must be disclosed to program participants. Neither the speaker nor the planning committee have any commercial interests to disclose. No commercial interest provided financial support for this educational activity. CME Online is accredited by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. CME Online has accredited this activity for a maximum of 1.45 CME credits.

CMEonline: 06-17-2026BillingsandCoding Billing, Coding, and Documentation for Digital Procedures: Avoid Audits and Clawbacks - Make sure You are Doing it Right (and Left) - Michael Warshaw, DPM, CPC

Billing, Coding, and Documentation for Digital Procedures: Avoid Audits and Clawbacks - Make sure You are Doing it Right (and Left) - Michael Warshaw, DPM, CPC