Question 1

What is HCPCS code G0246?

Accepted Answer

HCPCS code G0246 is "Followup eval of foot pt lop". 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

Question 2

What category is G0246 in?

Accepted Answer

G0246 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0246?

Accepted Answer

Use G0246 when billing for followup eval of foot pt lop. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G0246 covered by Medicare?

Accepted Answer

Coverage for G0246 (Followup eval of foot pt lop) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G0246?

Accepted Answer

Documentation for G0246 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).