5101:3-7-02 Podiatric medicine: scope of coverage.

(A) Podiatric physicians may perform covered services (as defined in Chapter 5101:3-7 of the Administrative Code) which consist of the medical, mechanical and surgical treatment of ailments of the foot, the muscles and tendons of the leg governing the foot, and superficial lesions of the hand other than those associated with trauma. The podiatric physician may also treat the local manifestation of systemic disease as they appear in the hand and foot, but the consumer must be concurrently referred to an eligible prescriber for treatment of the systemic disease itself.

(B) Podiatric medicine services provided by non-physicians under the direct and general supervision of a podiatric physician are covered in accordance with rule 5101:3-4-02 of the Administrative Code.

(C) Hospital-based podiatric physicians and surgeons are covered in accordance with rule 5101:3-4-01 of the Administrative Code.

(D) Podiatric medicine services provided in a teaching setting are covered as set forth in paragraphs (A) to (D)(2), (E)(1) and (F) of rule 5101:3-4-05 of the Administrative Code.

(E) Podiatric medicine services provided in a long-term care setting are covered as detailed in rule 5101:3-3-19 of the Administrative Code.

(F) Podiatric medicine services provided by a physician assistant are covered in accordance with rule 5101:3-4-03 of the Administrative Code.

(G) By report services are covered in accordance with rule 5101:3-4-02.1 of the Administrative Code. In addition, a report must be provided documenting the following:

(1) Complete description of the services or procedures;

(2) Diagnosis, both preoperative and postoperative;

(3) Size, location, and number of lesions;

(4) Indication of primary, secondary, or tertiary procedure;

(5) The nearest similar current procedural terminology (CPT) code whenever possible;

(6) Estimated number of visits for follow-up; and

(7) Operative time.

Effective: 11/04/2010
R.C. 119.032 review dates: 07/29/2010 and 11/01/2015
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01 , 5111.02 , 5111.021
Prior Effective Dates: 4/7/77, 5/19/86, 9/1/89, 2/1/90, 3/22/01, 8/15/05