HCPCS G0246

Follow-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

Current code29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS G0246 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$85.69	$122
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	Doctor’s fee: $44.72 – $70.20	Doctor’s fee: $68.80 – $108
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$71.04	$101
Virginia Mason Medical CenterSeattle	—	$77.52	$152

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $44.67 in an office; $18.44 in a hospital or surgery center
Doctor's fee, rest of Washington: $40.02 in an office; $17.51 in a hospital or surgery center
Hospital outpatient payment (national): $136 (APC 5012)

How hospitals also write this code

Some price files write it differently. These are counted as HCPCS G0246:

G0246P (with a letter after it, P; 4 price lines)