HCPCS G0245 Code. Initial foot exam pt lops

HCPCS Code: G0245
Long Description: 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, and (e) evaluation and recommendation of footwear and (4) patient education
Short Description: Initial foot exam pt lops

Original information is taken from G0245 page

Pricing Indicator Code 1: 11 – Price established using national rvu's. Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage Issues Manual Reference Section Number 1: 50.81

Coverage: D – Special coverage instructions apply

Berenson-Eggers Type of Service (BETOS): M1A – Office visits - new
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 20020701
Code Effective Date: 20020701
Action Code: N – No maintenance for this code