Podiatric scope is set state by state. Some states include the ankle, some require a separate credential, residency length or hospital privileges for ankle surgery, and some license the foot only. Amputation and anesthesia limits differ as well. Every entry below comes from the state’s practice act or rule; where we have not yet read it, the entry says so.
Verified October 10, 2026. Scope is a legal question for each board; confirm before you rely on a detail.
| State | Ankle | Amputation | Anesthesia | Permits |
|---|---|---|---|---|
| Alabama | Ankle needs a separate credential | Toes and other parts of the foot and ankle, but no amputation above the Chopart joint. | Local anesthetic only. | None verified |
| Alaska | Being confirmed | Being confirmed | General anesthetics only in board-approved podiatry colleges and accredited hospitals. | None verified |
| Arizona | Ankle in scope | No amputation of the leg or the entire foot. | Local anesthetic only. | None verified |
| Arkansas | Being confirmed | Being confirmed | Being confirmed | None verified |
| California | Ankle in scope | Partial foot amputation no further proximal than the Chopart joint. | Local only; other anesthesia must be given by another licensed practitioner. | None verified |
| Colorado | Ankle in scope | No amputation of the foot. | Local anesthetic only. | None verified |
| Connecticut | Ankle needs a separate credential | Chopart joint-level amputation is part of ankle surgery for podiatrists who filed the ankle documentation. | Being confirmed | None verified |
| Delaware | Ankle in scope | Foot amputation only by podiatrists with an accredited surgical residency and current amputation privileges, or who meet the hospital surgical committee's credentialing criteria. | Being confirmed | None verified |
| District of Columbia | Ankle in scope | Being confirmed | The statute authorizes local anesthesia. | None verified |
| Florida | Ankle in scope | Toes or other parts of the foot, but not the entire foot or leg. | Being confirmed | None verified |
| Georgia | Being confirmed | Being confirmed | Being confirmed | None verified |
| Hawaii | Ankle in scope | No amputation above the ankle. | Local anesthetic only. | None verified |
| Idaho | Ankle in scope | No amputation of the leg. | No administering or monitoring of general anesthesia. | None verified |
| Illinois | Being confirmed | Being confirmed | Being confirmed | None verified |
| Indiana | Being confirmed | Being confirmed | Being confirmed | None verified |
| Iowa | Ankle in scope | No amputation of the human foot. | Local anesthesia; the other anesthesia the statute permits is limited to hospitals and ambulatory surgical centers. | None verified |
| Kansas | Ankle needs a separate credential | Toes or part of the foot, but not the foot. | Local anesthetic only. | None verified |
| Kentucky | Being confirmed | Being confirmed | Being confirmed | None verified |
| Louisiana | Ankle needs a separate credential | Being confirmed | Local anesthetic only; general or spinal anesthesia only in accredited facilities, given by an anesthesiologist or a CRNA under one. | None verified |
| Maine | Ankle in scope | Being confirmed | Local anesthesia; general anesthesia only when given or supervised by an MD or DO who takes responsibility for it. | None verified |
| Maryland | Ankle in scope | Being confirmed | No anesthetic other than local. | None verified |
| Massachusetts | Ankle not in scope | No amputation of the foot or toes. | Local anesthetic only. | None verified |
| Michigan | Ankle in scope | No amputation proximal to the tibiotalar joint. | Excludes general anesthesia and intravenous anesthetic agents given by the podiatrist. | None verified |
| Minnesota | Ankle in scope | Partial foot amputation; no amputation of the hand or fingers. | Local anesthetics; nitrous oxide only under the conditions in 153.26, with no patient rendered unconscious. | None verified |
| Mississippi | Being confirmed | Being confirmed | Being confirmed | None verified |
| Missouri | Ankle needs a separate credential | No amputation of the foot. | No general anesthetics. | None verified |
| Montana | Ankle needs a separate credential | Being confirmed | No anesthetic other than a local anesthetic. | None verified |
| Nebraska | Ankle needs a separate credential | The statute excludes amputation of the forefoot. | No anesthetics other than local. | None verified |
| Nevada | Ankle in scope | A toe only, in a hospital or ambulatory surgical center that authorizes it, after a surgical residency. No amputation of a leg or foot. | The statute lists a local anesthetic among authorized acts. | None verified |
| New Hampshire | Ankle in scope | Being confirmed | No general anesthesia. | None verified |
| New Jersey | Being confirmed | Being confirmed | Being confirmed | None verified |
| New Mexico | Being confirmed | Being confirmed | Being confirmed | None verified |
| New York | Ankle needs a separate credential | Being confirmed | Being confirmed | None verified |
| North Carolina | Ankle needs a separate credential | No amputation of the entire foot; amputations only in a hospital or multispecialty ASC. | No anesthetic other than local. | None verified |
| North Dakota | Ankle in scope | Toes, parts of the foot or the foot in its entirety, when medically necessary. | Being confirmed | None verified |
| Ohio | Being confirmed | Being confirmed | General anesthetics only in podiatric colleges and accredited hospitals. Since June 9, 2026 the board may not bar office podiatrists from collaborating with a CRNA. | Hyperbaric oxygen supervision (qualifications, no separate permit) |
| Oklahoma | Ankle in scope | Being confirmed | Being confirmed | None verified |
| Oregon | Ankle in scope | No amputation of the entire foot. | Podiatrists may not administer general or spinal anesthetics; treatment using them must be in a hospital or licensed ASC. | None verified |
| Pennsylvania | Being confirmed | Being confirmed | Being confirmed | None verified |
| Rhode Island | Ankle in scope | Being confirmed | Being confirmed | None verified |
| South Carolina | Ankle needs a separate credential | No amputation of the entire foot, or of the leg or foot above the transmetatarsal level. | Local anesthesia by localized infiltration only. | None verified |
| South Dakota | Being confirmed | Being confirmed | Being confirmed | None verified |
| Tennessee | Being confirmed | Being confirmed | Being confirmed | None verified |
| Texas | Ankle not in scope | Amputating a human foot is a criminal offense. | Being confirmed | Hyperbaric oxygen certificate, Nitrous oxide registration |
| Utah | Ankle needs a separate credential | No amputation proximal to Chopart's joint. | Being confirmed | None verified |
| Vermont | Ankle in scope | Amputations other than toes only in a licensed general hospital or certified ASC. | Spinal or general anesthesia must be given by a professional authorized to administer it. | None verified |
| Virginia | Ankle in scope | Not proximal to the transmetatarsal level; amputations proximal to the metatarsal-phalangeal joints only in an accredited hospital or ASC. | Being confirmed | None verified |
| Washington | Being confirmed | May not amputate the foot. | Spinal anesthesia or anesthesia rendering the patient unconscious only when given by a physician or CRNA, per the board rule. | None verified |
| West Virginia | Ankle in scope | Being confirmed | Anesthesia other than local for foot surgery must be given by or under an anesthesiologist or CRNA, after a physician's medical evaluation. | None verified |
| Wisconsin | Ankle in scope | Being confirmed | General anesthetic only when administered by or under the direction of a physician. | None verified |
| Wyoming | Ankle in scope | Toes or other parts of the foot; not the foot or leg in its entirety. | Podiatrists give local anesthetic only; general anesthesia is given in a hospital by an anesthesiologist or CRNA. | None verified |
Need an ankle or scope credential?
Where a state requires a separate ankle or advanced-procedure credential, we assemble the training, residency and facility documentation for $499 per state; procedure permits are $199 each. You sign, and the board decides. See every price.