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See a sample rate comparisonHCPCS G0247 Fee Schedule
Medicare rates as of October 2026
HCPCS G0247 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $80.83 national non-facility rate (2026) · View Medicare rates for G0247 |
| Medicaid Fee Schedule | $65.23 median of the 8 states in the free preview · View Medicaid rates for G0247 |
National average reimbursement for HCPCS G0247 by major payers:
$76.24
BCBS / Anthem
$87.78
UnitedHealthcare
$81.88
Aetna
$91.33
Cigna
Compare published rates across providers.
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HCPCS G0247
5 of 25 sample ratesHigher to lower in this preview
Lafayette Surgical Hospital LLC, Lafayette Surgical Specialty Hospital
Lafayette Surgical Specialty Hospital
$303.05Published rateEmory Crawford Long Hospital
Emory University
$148.39Published rateJulie Webster
Carolina Radiology Associates, LLC
$65.37Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$52.65Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$19.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0247 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0247. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0246-HCPCS | Low | 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 |
| G0247-HCPCS | Low | 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 |
| G0248-HCPCS | Low | Demonstration, prior to initiation of home INR monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of patient's ability to perform testing and report results |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0247 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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