A diabetic foot exam checks for nerve damage (neuropathy), poor circulation and skin problems that can lead to ulcers and amputations. The ADA recommends a comprehensive foot exam at least once a year, and more often for people at high risk. It goes along with the diabetic eye exam.
Check what you know with the diabetic foot exam quiz.
Key takeaways
- At least once a year for everyone with diabetes.
- Includes inspection, a 10-g monofilament test, vibration or other sensory tests, and pulses.
- Daily self-checks at home are essential.
- Medicare covers foot exams every 6 months if you have diabetic neuropathy with loss of protective sensation.
USA Diabetic Foot Exam: Quick Facts
- How often
- At least yearly
- Key tools
- 10-g monofilament, 128-Hz tuning fork
- Checks
- Skin, nerves, pulses, deformities
- Medicare
- Every 6 months with neuropathy
Diabetic Foot Exam Steps
- History: prior ulcers or amputation, smoking, symptoms
- Inspection: skin, nails, calluses, deformities, footwear
- Neurological: 10-g monofilament plus vibration (128-Hz tuning fork), pinprick or ankle reflexes
- Vascular: dorsalis pedis and posterior tibial pulses, and an ankle-brachial index if pulses are weak
Diabetic Foot Exam ICD-10 Codes
Coders commonly use codes from E11.- (type 2 diabetes), such as E11.40 or E11.42 for diabetic neuropathy, together with Z-codes for screening where appropriate. Coding depends on documentation. Check current payer rules or see our CPC exam guide.
More on Diabetic Foot Exam ICD-10 Codes →Free practice test
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Go to the USA Diabetic Foot Exam practice test →USA Diabetic Foot Exam FAQs
How often should a diabetic foot exam be done?
At least once a year by a clinician, and at every visit for high-risk patients. Check your own feet daily.
Full answer →What is the monofilament test?
A 10-gram nylon filament pressed on the foot to see if you’ve lost protective sensation.
Full answer →Does Medicare cover diabetic foot exams?
Yes, every 6 months if you have diabetic peripheral neuropathy with loss of protective sensation.
Full answer →Official sources
Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.