Covered Services

Covered Services Medicaid covers the following podiatry services: A. Laboratory services required for care of a systemic condition are covered only to the MD/DO supervising the systemic condition or to a laboratory to which the MD/DO has referred the specimen. B. Physical therapy services that are medically necessary and appropriate for the treatment of the foot condition. C. Radiology services provided in an office setting that are medically necessary and include both the technical and professional components of the service if provided. D. Foot care required as a result of or associated with systemic conditions limited to once every sixty (60) days. E. Surgical treatment of ingrown toenails. Localized pathology of the soft tissue surrounding the nail must demonstrate that it is severe enough to require professional intervention. F. Debridement if gross contamination requires prolonged cleansing. G. Surgical debridement of mycotic nails with a manual or electric grinder method if the following conditions exists: 1. Clinical evidence of mycosis of the toenail. 2. Documentation of the severity of the condition and if patient ambulatory have marked limitation of ambulation, pain or secondary infection resulting from the thickening and dystrophy of the infected toenail plate and for non-ambulatory patients must suffer pain or secondary infection resulting from the thickening and dystrophy of the infected toenail plate. H. Debridement of mycotic nails once every sixty (60) days. I. Correction of hammertoe. J. Definitive treatment of viral or plantar warts. K. Medical or surgical treatment of subluxation of the ankle joint (talocrural joint). Services that are medical or surgical, diagnosis, or treatment for medical conditions that have resulted from or associated with partial displacement of structures. L. Treatment of paronychia for stages A and B when avulsion or debridement is provided. M. Foot care in the presence of metabolic, peripheral, or neurological disease including the following: 1. Diabetes Mellitus, 2. Arteriosclerosis obligerans, 3. Buerger’s disease, 4. Chronic thrombophlebitis, or 5. Peripheral neuropathies involving feet that are associated with malnutrition, alcoholism, malabsorption, or pernicious anemia, peripheral neuropathies