Part B Insider (Multispecialty) Coding Alert
Know Your LOPS Codes
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Medicare recognizes three codes for LOPS treatment: G0245 (Initial physician evaluation of a diabetic patient with LOPS), G0246 (Follow-up evaluation of patient with LOPS), and G0247 (Routine foot care of patient with LOPS). You can bill G0247 only on the same day as G0245 or G0246.
Both G0245 and G0246 include patient history; physical exam including visual inspection of the forefoot, hind-foot and toe web spaces; evaluation of a protective sensation; evaluation of foot structure and biomechanics; evaluation of vascular status and skin integrity; evaluation and recommendation of footwear; and patient education. G0245 also includes the initial diagnosis.
G0247 includes local care of superficial wounds, debridement of corns and calluses, and trimming and debridement of nails.
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