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In other specialties, modifier accuracy is not as important as it is in podiatry because modifiers for LT, RT, and toes are not as important as they are in the foot specialty. Claims in the foot specialty are denied or quietly underpaid if the modifier does not match the operative note. The underpayment version is harder to catch, since it doesn’t trigger an obvious rejection. Podiatry medical billing services must employ coders that review all modifiers with the documentation prior to submission, and not leave it to the payer to identify the mismatch. That proactive review ensures that you are compensated consistently in a practice’s claim volume rather than having numerous billing cycles pass by without realizing that there are notable discrepancies in the claim volume.