How do I bill for weight loss therapy?

Who can bill CPT code 99401?

Individual preventive medicine counseling codes 99401–99404 are used to report counseling services in areas such as family problems, diet, and exercise.

What is CPT code G0447?

The service consists of screening for obesity, dietary assessment and intensive behavioral counseling and behavioral therapy, for eligible patients. … The patient must have a BMI of ≥ 30 to be eligible for the service.

How do you bill for obesity counseling?

A: CMS began reimbursing physicians for obesity counseling in November 2011, when they introduced Healthcare Common Procedure Coding System (HCPCS) code G0447, Face-to-face behavioral counseling for obesity, 15 minutes. This code reimburses at about $25, and is for patients with a (BMI) of 30 kg/m2 or greater.

Is CPT 99401 covered by Medicare?

Medicare won’t cover 99401-99404. These are considered routine and – obviously – preventive.

Can you bill G0439 with 99397?

A full physical exam, 99397, is different than an Annual Wellness Visit, G0438/G0439, or “Welcome to Medicare Exam”, G0402. A full physical 99397 or 99387 is NOT covered by Medicare and patients are responsible for the cost and can be billed.

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Who can bill CPT 97802?

97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes. (NOTE: This CPT code must only be used for the initial visit.) This code is to be used only once a year, for initial assessment of a new patient.

What is procedure code G0444?

Medicare contractors will recognize new Healthcare Common Procedure Coding System (HCPCS) code, G0444, annual depression screening, 15 minutes, as a covered service.

What is CPT code G0270?

G0270: Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face-to-face with the patient, each 15 minutes.

What does CPT code 97802 mean?

CPT Code. Description. 97802. Medical nutrition therapy; initial assessment and intervention, individual, face-to-face. with the patient, each 15 minutes.

How often can you bill 99406?

Smoking Cessation Counseling Codes 99406 and 99407

Medicare covers 2 cessation attempts per 12-month period. Each attempt includes a maximum of up to 4 intermediate (99406) or intensive (99407) counseling sessions, with a total Medicare benefit of 8 sessions per year.

Does Medicare pay for obesity treatment?

Medicare Part B (Medical Insurance) covers obesity screenings and behavioral counseling if you have a body mass index (BMI) of 30 or more.

How do you code obesity?

Parsing Overweight and Obesity Coding

  1. Class 1: BMI of 30 to < 35.
  2. Class 2: BMI of 35 to < 40.
  3. Class 3: BMI of 40 or higher; Class 3 obesity is sometimes categorized as “morbid,” “extreme,” or “severe” obesity.
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Is CPT 99173 covered by Medicare?

Visual acuity testing (99173) is a covered, separately reimbursable service when performed in conjunction with a preventive medicine service code (99382, 99383, 99392, 99393) for patients aged 3-5 years.

Does Medicare pay for CPT code 82270?

The test is submitted to Medicare with one of the following codes: CPT code 82270 Colorectal cancer screening; fecal-occult blood test HCPCS code G0328 Colorectal cancer screening; fecal-occult blood test (alternative to CPT code 82270) Coverage for Screening FOBT Medicare covers one screening FOBT annually for …

Is CPT 99396 covered by Medicare?

New. We bill Medicare and MCR Advantage plans the Annual Wellness Visit codes G0438 and G0439. We never use 99396 or 99397 for Medicare/MCR Advantage, because they are not a covered code.