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Podiatry Coding & Billing Alert

You Be the Coder:

Diabetic Foot Exam

Published on Thu May 17, 2012

Question: What are the guidelines for performing and coding a comprehensive diabetic foot exam?Pennsylvania SubscriberAnswer: There is now no E/M code set aside specifically for a diabetic foot exam, so you will need to determine the E/M level of the exam just as you would any other office visit.A diabetic foot exam should include a number of factors, such as a vascular assessment (looking for localized edema, assessing digital capillary refill time and pulses, and noting temperature gradients), a neurologic assessment (determining protective sensation with Monofilament 5.07), and an integumentary assessment (noting skin appearance, checking state of nails).If a Medicare patient is diabetic with loss of protective sensation (LOPS), G codes G0245 (Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation [LOPS] ...), G0246 (Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in [...]
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