HCPCS Code for Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a 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 (4) patient education G0245

HCPCS code G0245 for Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a 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 (4) patient education as maintained by CMS falls under Miscellaneous Diagnostic and Therapeutic Services .

Official Long Descriptor

Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a 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 (4) patient education

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Diabetic foot exams diabetes foot care

I am new to podiatry coding. Can someone tell me when it is appropriate to bill office visits 99xxx vs the G0245-47? If I use the G codes, would I use the 11055, 110721... codes. What documantation... [ Read More ]

Coders' Specialty Guide 2021: Podiatry

I was wondering if anyone knows if the Coders' Specialty Guide 2021: Podiatry book covers the Medicare G0245-G0247 Comprehensive diabetic foot exam codes?... [ Read More ]

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 ]

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

Hi, I have one more point to add: CMS’s National Correct Coding Initiative (CCI) edits consider G0245 to be a part of an E/M code. For this reason, you can’t claim reimbursement for both G0245 a... [ Read More ]

G0245 and G0246 Evaluation and management of diabetic patient with diabetic LOPS

Hi, Please find the below coding information I received: Some of the services that Medicare will cover for diabetics diagnosed with sensory neuropathy and LOPS include cutting or removal of corns an... [ 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 ]

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