Quick Answer: What Is The CPT Code For Obesity Counseling?

What does CPT code 99396 include?

CPT® 99396 in section: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and …


Is CPT 99406 covered by Medicare?

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. … The Medicare Learning Network from CMS provides information that may be helpful.

What is CPT g0447?

Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI of ≥ 30, who are alert and able to participate in counseling.

Does g0447 need a modifier?

Use the Z-code for BMI as the secondary diagnosis on the line item and use CPT code G0447. Put a 25 modifier on your office visit and a 59 modifier on the G0447. HMO Plans – It’s capped.

What is procedure code 99402?

CPT® Code 99402 in section: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure)

What is the ICD 10 code for obesity?

E66.9E66. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does CPT code 97802 mean?

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

What does CPT code 99386 mean?

Initial comprehensive preventive medicine evaluationCPT® Code 99386 in section: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient.

How do you bill for nutrition services?

Which codes should be used for nutrition services provided?97802 – For an initial assessment, face-to-face.97803 – For a follow-up visit or reassessment, face-to-face.97804 – For a group visit (2 or more individuals)

What does CPT code 99401 mean?

Under Preventive Medicine, Individual Counseling ServicesCPT 99401, Under Preventive Medicine, Individual Counseling Services. The Current Procedural Terminology (CPT) code 99401 as maintained by American Medical Association, is a medical procedural code under the range – Preventive Medicine, Individual Counseling Services.

What is CPT code g0446?

Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446. Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral counseling session. The code is defined as 15 minutes.

Does Medicare pay for obesity counseling?

Medicare Part B covers BMI screenings and behavioral counseling to help you lose weight if you are obese. … Once your doctor diagnoses you as obese, you can qualify for behavioral counseling and therapy to help you lose weight and sustain weight loss through proper diet and exercise.

What is procedure code g0444?

Medicare pays primary care practices to screen all Medicare patients annually for depression. The service must be provided in a primary care setting, in place of service office, outpatient hospital, independent clinic or in a state or local health department.

How do you bill for preventive services?

Here’s some quick guidance from CPT: If a new or existing problem is addressed at the time of a preventive service and is significant enough to require additional work to perform the key components of a problem-oriented evaluation and management (E/M) service, you should bill for both services with modifier 25 attached …

What is the CPT code for weight loss counseling?

Medical nutritional therapy codes (97802, 97803, S9470) may be billed when counseling patients on obesity or weight management. These codes are compatible with any diagnosis but are most appropriate or intended for illness or disease-related diagnoses such as obesity or diabetes.

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.

What is the CPT code for annual physical exam?

99385-99387The Annual Routine Physical Exam can be documented using codes 99385-99387 for new patients and codes 99395-99397 for established patients. When an Annual Wellness Visit and Annual Routine Physical Exam occur at the same date of service, no modifier is necessary.

How do you code preventive services?

As long as service is clearly documented and distinct from the documentation of the preventive service, CPT suggests submitting a preventive medicine services code (99381-99397) for the routine exam and the appropriate office visit code (99201-99215) with modifier -25, “Significant, separately identifiable [E/M] …