Applicable HCPCS Codes

80.2 - Applicable HCPCS Codes (Rev. 498, Issued: 03-11-05, Effective/Implementation: N/A) G0245 - 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, (e) evaluation and recommendation of footwear, and 4. Patient education. G0246 - Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following: 1. a patient history; 2. a physical examination that includes: (a) visual inspection of the forefoot, hindfoot, and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, (e) evaluation and recommendation of footwear, and 3. patient education. G0247 - Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a LOPS to include if present, at least the following: (1) local care of superficial (i.e., superficial to muscle and fascia) wounds; (2) debridement of corns and calluses; and (3) trimming and debridement of nails. NOTE: Code G0247 must be billed on the same date of service with either G0245 or G0246 in order to be considered for payment. The short descriptors for the above HCPCS codes are as follows: G0245 – INITIAL FOOT EXAM PTLOPS G0246 – FOLLOWUP EVAL OF FOOT PT LOP G0247 – ROUTINE FOOTCARE PT W LOPS