G0246 HCPCS - 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, AND (E) EVALUATION AND RECOMMENDATION OF FOOTWEAR, AND (3) PATIENT EDUCATION

Code Information

HCPCS Code: G0246

Sequence Number: 0010

Short Description: Followup eval of foot pt lop

Long Description: 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, and (e) evaluation and recommendation of footwear, and (3) patient education

Code Added Date: 7/1/2002

Action Code: N - No maintenance for this code

Action Effective Date: 7/1/2002

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: M1B - Office visits - established
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:
  • 11 - Price established using national rvu's
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
  • 50.81
Medicare Carriers Manual Reference Section Number:
    N/A
    Coverage Code: D - Special coverage instructions apply

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code G0246
    HCPCS Sequence Number 0010
    HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
    HCPCS Long Description 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, and (e) evaluation and recommendation of footwear, and (3) patient education
    HCPCS Short Description Followup eval of foot pt lop
    HCPCS Pricing Indicator Code 1 11 - Price established using national rvu's
    HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
    HCPCS Coverage Issues Manual Reference Section Number 1 50.81
    HCPCS Coverage Code D - Special coverage instructions apply
    HCPCS Berenson-Eggers Type Of Service Code M1B - Office visits - established
    HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
    HCPCS Anesthesia Base Unit Quantity 0
    HCPCS Code Added Date 7/1/2002
    HCPCS Action Effective Date 7/1/2002
    HCPCS Action Code N - No maintenance for this code

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    This page was last updated on: 1/1/2018