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Diabetic Foot Exam - Can someone tell me please

S

solocoder

Expert
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458
Location
springfield, MO
Can someone tell me please, how often MCR will cover a diabetic foot eval? Or is there a limit to how many per year?
Appreciate any help.
 
diabetic foot care

question, is your doctor a Podiatrist? there is no limit to how many office visits one patient can have in relation to his Diabetes, as far as diabetic toe nail trimmings they are only allowed every 61 days (11721 or 11720) and are billiable with an E&M code with proper documentation. treatment of diabetic ulcers are on a as needed basis as well, I hope this info helps?
 
Yes, they are podiatrists. We do not do any routine foot care (nail or callus trims) in our office, but sometimes diabetic patients are referred to us by one of their other docs "just to have my feet checked". Sometimes they have issues that need treatment, but sometimes not. The doctor just uses a diabetes code for dx. My boss has asked me to find out if MCR or WPS has any guidelines or limits to these exams.
 
If you are talking about the G0247-G0245, they are payable every 6 months. They must have documented LOPS and not have seen a footcare specialist in the interim for some other reason.
 
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