HCPCS code G0247 — Routine footcare pt w lops.
Status: Active.
Effective Jul 1, 2003.
Source: CMS HCPCS Level II.
G0247
ActiveRoutine 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
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jul 1, 2003
Code type:
alphanumeric
OPPS Status:
Q1
— STVX-packaged — paid standalone, packaged when billed with S, T, V, or X
OPPS APC:
5051
MUE — Medically Unlikely Edits
Maximum units of G0247 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0247 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0127 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)