2025 HCPCS Code 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, and (e) evaluation and recommendation of footwear and (4) patient education

TAGS: resulting initial protective structure visual diagnosis least diabetic footwear sensory physical vascular management status consists education examination evaluation inspection patient neuropathy physician hindfoot sensation recommendation
Short DescriptionInitial foot exam pt lops
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date July 01, 2002
HCPCS Action Effective Date July 01, 2002
HCPCS Pricing Indicator Code 11 - Price established using national rvu's
HCPCS Type Of Service Code 1 - Medical care
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 50.81

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