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
Short descriptor: Initial foot exam pt lops
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G0245 is the HCPCS Level II code for 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 (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Priced using national RVUs (physician fee schedule).
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Priced using national RVUs (physician fee schedule) (indicator 11)
- Type of Service
- Medical care
- Effective Date
- 2002-07-01
- 2026 Maintenance
- No change this year
References
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Reference G0245 with the canonical source and edition:
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. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G0245
Canonical URL: https://icd10codingpro.com/hcpcs-codes/G0245