Important Information for Podiatrists – Class B Findings

The following constitute Class B Findings when billing Modifier Q8 and Modifier Q9:

  • Absent posterior tibial pulse indicates one Class B Finding
  • Advanced trophic changes as: hair growth (decrease or absence) nail changes (thickening) pigmentary changes (discoloration) skin texture (thin, shiny) skin color (rubor or redness) (three of five required to indicate one Class B Finding)
  • Absent dorsalis pedis pulse indicates one Class B Finding
  • Absent bilateral posterior tibial pulses indicates one Class B Finding
  • Absent bilateral dorsalis pedis pulses indicates one Class B Finding

You can access Local Coverage Determination (LCD) L30322, Routine Foot Care, in its entirety here.

Page Last Updated: Friday, 02-Dec-2011 15:08:33 CST