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Old 11-18-2011, 07:23 PM
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Default Comprehensive Foot Exam & LOPS
Question:


It appears that loss of protective sensation is the qualifying factor to allow a covered comprehensive diabetic foot examination.

What is the recommended test to perform to prove a patient does indeed have loss of protective sensation?

We assume that any anesthesia reported when probed with the Semmes Weinstein monofilament would suggest a loss, but is there another "quick and dirty" method to substitute?

For example, would the inability to feel the vibration of a tuning fork on a bony prominence constitute qualification for reimbursed LOPS encounters? How about a patient statement such as "I can't feel my feet"?

Any pointers on how it should be documented would be appreciated.

Charles Perry DPM
Cambridge, OH
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