Maxim Physician Resources
Podiatry
Skills Checklist
Enter the appropriate provider code in the blank next to the procedure. Failure to fill this
out correctly can delay the screening process.
Provider Codes
1 Fully competent to perform
2 Competent with supervision
3 Not requested due to lack of expertise
Please check all that apply to your scope of practice.
PODIATRY PROCEDURES
___ Outpatient
___ Inpatient
Soft Tissue Procedure
___ Excision of verrucae and nevi
___ Avulsion of nail-plate-partial or complete
___ Incision and drainage of superficial abscess
___ Excision of foreign body mass digital and forefoot
___ Tendon lengthening of metatarsal phalangeal joint
___ Capsulotomy interphalangeal joint
___ Excision of soft tissue tumors
___ Excision of lesions of tendon sheath or capsule cyst or ganglion
___ Repair of lacerations
Digital Procedures
___ Arthrodesis interphalangeal joints w/ fixation
___ Excision of extosis exostectomy
___ Excision of tumor
___ Incision and drainage
___ Open reduction of digital fracture
___ Phalangectomy -partial or complete
___ Osteotomy of phalanx-Akin procedure with fixation
___ Excision of interphalangeal sesamoid
___ Correction of cocked-up 5th digit
___ Excision of soft tissue tumor or mass benign
Digital Procedures
___ Syndactalization
___ Repair of syndactalization or desyndacatalization
Forefoot-Metatarsal & Metatarsal Phalangeal Joint
___ Metatarsal head resection partial or complete
___ Tailor's bunionectomy
___ Closed reduction metatarsal fracture
___ Excision of sesamoid bone first metatarsal phalangeal joint
___ Osteotomy of lesser metatarsal-with or without internal/external fixation
___ Excision of exostosis
___ Osteotomy first metatarsal with or without internal/external fixation
___ Incision and drainage of abscess
___ Excision of accessory bones
___ Excision of implant and/or fixation devices
___ Correction of Hallux Varux
Bunionectomies
___ Simple -siiver
___ Soft tissue-McBride or modified McBride
___ Radical-Keller
___ with osteotomy metatarsal neck
___ with osteotomy metatarsal base-opening or closing
___ with osteotomy proximal phalanx
___ with tendon transfers
___ with double wedge osteotomy first metatarsal
___ with combination of above with more than one osteotomy
___ Bunionectomy with implants
Rearfoot Procedures
___ Incision and drainage of abscess
___ Excision of soft tissue tumor or mass
___ Plantar fascial release
___ Exostectomy of tarsal bones
___ Excision of accessory bones
___ Endoscopic Plantar fascial release
___ Osteotomy talar calcaneus
___ Ankle Arthroscopy
___ Debridement of ulcer soft tissue and/or bone
___ Ray resection
___ Forefoot amputations
___ Tarsel tunnel decompression
___ ORIF foot fractures
___ Primary ankle repair or lateral stabilization
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