MedicaidCoverageHigh impact
Limitations on Podiatric Services
Illinois Medicaid - HFS·IL · Podiatry·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
Effective July 1, 2012, podiatric services for patients 21 and older are limited to only diabetic foot care services (G0245, G0246, G0247) and require a diabetes diagnosis code (ICD-9 250.xx range). Claims without diabetic diagnosis will reject with error code G51.
Action Required
Immediately: Billing team must update system to only allow G0245, G0246, and G0247 codes for podiatric services for patients 21 and older, and require ICD-9 diabetes diagnosis codes (250.xx range) on all claims. Update encounter forms to remind providers. Claims without diabetic diagnosis will reject with error code G51.