01/05/2017
ICD-10 Coding for LOPS
Is a diabetic patient who has LOPS eligible for a diabetic foot exam every 6 months? What ICD-10 codes are acceptable? Does the patient need to have a complaint to be scheduled in advance for one of these visits?
The following ICD-10 codes are acceptable for coding for LOPS:
- E08.42 (DIABETES MELLITUS DUE TO UNDERLYING CONDITION WITH DIABETIC POLYNEUROPATHY)
- E09.42 (DRUG OR CHEMICAL INDUCED DIABETES MELLITUS WITH NEUROLOGICAL COMPLICATIONS WITH DIABETIC POLYNEUROPATHY)
- E10.42 (TYPE 1 DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHY)
- E11.42 (TYPE 2 DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHY)
- E13.42 (OTHER SPECIFIED DIABETES MELLITUS WITH DIABETIC POLYNEUROPATHY)
Patients do not need to have another chief complaint in order to be seen for a diabetic foot evaluation or re-evaluation. If a patient has another complaint that is addressed at the same time as a LOPS exam, an additional E&M code may be billed along with any other services and with any LOPS HCPCS codes.