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HCPCS Code for Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education G0246

HCPCS code G0246 for Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education as maintained by CMS falls under Miscellaneous Diagnostic and Therapeutic Services .

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Official Long Descriptor

Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education

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LOPS
Hi everyone! I want to make sure I understand the guidelines for LOPS. we have a Podiatrist who likes to bill for G0246 but patient hasn't had an initial G0245 done. 1. PCP sees patients and establi... [ Read More ]
LOPS (loss of protective sensation)
Hi everyone! I want to make sure I understand the guidelines for LOPS. we have a Podiatrist who likes to bill for G0246 but patient hasn't had an initial G0245 done. 1. PCP sees patients and establi... [ Read More ]
G0246 denials
We have been billing for DM foot exams for a long time and they have been paid but now we are getting denials. We use DM code E11.42. Can anyone tell me if they have been able to get this procedure ... [ Read More ]
G0245, g0246, g0247 denials
We have the same issue. If anyone can advise us that would be great! I do know that Medicare requires that you bill the G0245 first then the G0246 at a different OV. We are using DX code E11.42 whic... [ Read More ]
Nail Debridement and Diabetes
I believe you mean 11720, G0246 and G0247? G0247 includes the nail debridement in a diabetic patient with neuropathy and loss of sensation, so you would not also bill 11720. G0247 requires a primary c... [ Read More ]
G0245, g0246, g0247 denials
Good Afternoon, I bill for a family practice and we recently started billing these diabetic foot cares, but not all insurances pay they say it bundles with the office visit. Does anyone else bill for... [ Read More ]
G0245 and G0246 Evaluation and management of diabetic patient with diabetic LOPS
[b]G0245 and G0246[/b] Does anyone have any insight on whether these codes can be billed in a Physician's Office? The medical policy that I am seeing from 2005 does not have physician's office liste... [ Read More ]
G0245 and G0246 Evaluation and management of diabetic patient with diabetic LOPS
Can these codes be billed in the physician office? I am finding an old Medicare policy that states they are to be billed in the hospital, critical access hospital, rural health clinic, etc.... [ Read More ]
monofilament testing/exam
[b]monofillament Diabetic Test.[/b] There is a code for this test. G0245 for new and G0246 for established. Here are the rules: How to obtain reimbursement for diabetic foot exams. :cool: Q: How c... [ Read More ]
G0245, g0246, g0247
Our podiatrist has started billing the above to Medicare IL/MO as well as some commercial payers. Medicare is denying these as modifier missing/or invalid. Does anybody have experience billing this c... [ Read More ]
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