MedicaidCoverageHigh impact
Limitations on Podiatric Services
Illinois Medicaid - HFS·IL · Podiatry·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
Podiatric services for patients 21 and older are now limited to diabetic patients only, with routine foot care covered once every 61 days. Claims must include a primary diabetes diagnosis (ICD-9-CM 250.xx range) or they will be rejected with error code G51.
Action Required
Immediately: Billing team must update system to reject podiatric service claims for patients 21+ without primary diabetes diagnosis (ICD-9-CM 250.xx range). Update encounter forms to require secondary diagnosis for condition being treated. Limit routine foot care billing to once every 61 days for diabetic patients. Claims without proper diabetes diagnosis will reject with error code G51.