Summary & Overview
HCPCS G0247: Routine Diabetic Foot Care with Superficial Wound Management
HCPCS Level II code G0247 denotes routine foot care for diabetic patients with diabetic sensory neuropathy resulting in loss of protective sensation (LOPS), including local care of superficial wounds and, when present, debridement of corns and calluses and trimming/debridement of nails. This code matters nationally because diabetic foot complications are a major driver of morbidity, and correct coding affects clinical workflows, coverage determinations, and quality measurement for at-risk populations. Key national payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical intent and scope of G0247, typical sites where the service is delivered (outpatient clinic or physician office), and how the code is used to capture bundled routine diabetic foot care that includes superficial wound management. The publication outlines common billing modifiers encountered with this service, notes which data elements were not provided in the input, and provides context for clinical documentation needed to support the inclusion of wound care, corn/callus debridement, and nail care in the billed service. The summary is intended to help billing teams, compliance staff, and clinicians understand the code’s definition and national relevance without offering treatment recommendations.
Billing Code Overview
HCPCS Level II code G0247 describes routine foot care for a patient with diabetes and diabetic sensory neuropathy resulting in loss of protective sensation (LOPS). The service includes local care of superficial wounds (superficial to muscle and fascia) and, if present, local care of superficial wounds, debridement of corns and calluses, and trimming and debridement of nails.
Service type: Routine diabetic foot care with wound care and basic debridement of superficial lesions.
Typical site of service: Outpatient clinic or physician office where primary care providers, podiatrists, or other qualified clinicians perform foot care and superficial wound management for diabetic patients.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with a 15-year history of type 2 diabetes mellitus and documented diabetic sensory neuropathy presents to a primary care clinic for routine foot care. The patient reports no acute systemic symptoms but has callus formation, thickened dystrophic toenails, and a small superficial plantar ulceration confined to the subcutaneous tissue without tendon, muscle, or bone involvement. The clinician performs a focused foot exam, documents loss of protective sensation (LOPS) on monofilament testing, provides local wound care to the superficial ulcer (cleansing and dressing), trims and debrides hypertrophic nails, and removes corns and calluses. Vital signs and diabetes control are reviewed, wound measurements and photos are documented, and a follow-up plan is established. Billing is reported under G0247 for routine foot care in a diabetic patient with LOPS that includes local care of superficial wounds, debridement of corns and calluses, and nail trimming/debridement.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Normal or first listed procedure | Use when G0247 is the primary service provided during the encounter. |