Comprehensive Foot Exam & LOPS
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