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foot care for 250.60 without LOPS

P

player14

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I am hoping someone can clarify this for me. Per Medicare LCD's (we use NGS), billing foot care for a patient with diabetic neuropathy (250.60) with LOPS is required for billing G0245/G0246. What if a patient who was diagnosed by PCP with 250.60, but during podiatric exam, protective sensation was normal when tested with monofilament. Can we still bill for 1172X/1105X with 250.60? Or can we not bill for any foot care if they have normal sensation? Even if they do have LOPS, we are not required to bill the G codes, correct?
 
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