Appendix 1 — Allowable Podiatry Services CPT and HCPCS Procedure Codes 

Appendix 2 — Allowable Podiatry Services Local Codes

Appendix 3 — Allowable Routine Foot Care Diagnosis Codes

Appendix 4 — Allowable Surgical Procedure Codes for Mycotic Conditions

Appendix 5 — Allowable Diagnosis Codes for Mycotic Conditions and Mycotic Nails

Appendix 6 — Copayment Amounts and Allowable Podiatry Type of Service and Place of Service Codes

Appendix 7 — CMS 1500 Claim Form — Completion Instructions

Appendix 8 — CMS 1500 Claim Form — Completed Sample