Wiki Diabetic foot exam G9226

[Bernadette10]

Can G9226 be coded for a foot exam for this? I was thinking yes since it has the visual inspection, monofilament exam and pulses.
Diabetic foot exam:
Left:
Pulses: Dorsalis Pedis/Posterior Tibial: present
Monofilament test: intact
Visual Inspection normal exam, no swelling, tenderness, instability; ligaments intact, full range of motion of all ankle/foot joints
Right:
Pulses: Dorsalis Pedis/Posterior Tibial: present
Monofilament test: intact
Visual Inspection normal exam, no swelling, tenderness, instability; ligaments intact, full range of motion of all ankle/foot joints

CPT description
G9226: Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)

 

[podcoder70]

I don't know if that code exists any more, it was a PQRS code for Meaningful Use reporting. Medicare will not pay for a diabetic foot exam if the patient has been seen by a podiatrist in the previous 6 months. There are other codes to use for this visit and very strict guidelines. Here is a great article from 2021.

https://www.tldsystems.com/annual-diabetic-foot-exams

 

[ruhidas.sarkar@medkpo.com]

When we need to G9226, we can give DFE done in physical exam in usual E/M visit other than medicare preventive or non medicare preventive kindly guide me...