Question 1

What is HCPCS code G0247?

Accepted Answer

HCPCS code G0247 is "Routine footcare pt w lops". Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails

Question 2

What category is G0247 in?

Accepted Answer

G0247 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0247?

Accepted Answer

Use G0247 when billing for routine footcare pt w lops. 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 G0247 covered by Medicare?

Accepted Answer

Coverage for G0247 (Routine footcare pt w lops) 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 G0247?

Accepted Answer

Documentation for G0247 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).