G0246 Followup eval of foot pt lopFollow-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
Status R: restricted coverage, special coverage instructions apply. National amounts: non-facility $38.75, facility $17.37 (total RVUs 1.16 / 0.52 × $33.4009 conversion factor). Work RVU 0.44, practice expense RVU 0.70 non-facility and 0.06 facility, malpractice RVU 0.02. Global period XXX. Qualifying APM participants are paid at a $33.5675 conversion factor.
G0246 appears in 1 coverage policy from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Routine Foot Care (0046) | covered if criteria are met | Apr 7, 2026 | payer document |
Prior authorization required or conditional in IN.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.