Billing Obesity Screening, Treatment and Counseling for Medicare and Commercial Payers
Jul12

Billing Obesity Screening, Treatment and Counseling for Medicare and Commercial Payers

If you are doing Obesity Screening and Counseling Services in your practice, here are the codes and guidelines I want to share with you: Keyword Tag: Billing Obesity Billing Obesity Screening, Treatment and Counseling for Medicare Keyword Tag: Billing Obesity HCPCS/CPT Codes G0447 – Face-to-face behavioral counseling for obesity, 15 minutes G0473 – Face-to-face behavioral counseling for obesity, group (2–10), 30 minutes Keyword Tag: Billing Obesity ICD-9-CM Codes for Obesity Screening, Treatment and Counseling for Medicare Keyword Tag: Billing Obesity Cross-over Diagnosis Codes (Choose 1)    –  V85.30–V85.39, V85.41–V85.45  V85.30 Body Mass Index 30.0-30.9, adult (Use ICD-10 Code Z68.30 – Effective October 1, 2015) V85.31 Body Mass Index 31.0-31.9, adult (Use ICD-10 Code Z68.31 – Effective October 1, 2015) V85.32 Body Mass Index 32.0-32.9, adult (Use ICD-10 Code Z68.32- Effective October 1, 2015) V85.33 Body Mass Index 33.0-33.9, adult (Use ICD-10 Code Z68.33 – Effective October 1, 2015) V85.34 Body Mass Index 34.0-34.9, adult (Use ICD-10 Code Z68.34 – Effective October 1, 2015) V85.35 Body Mass Index 35.0-35.9, adult (Use ICD-10 Code Z68.35 – Effective October 1, 2015) V85.36 Body Mass Index 36.0-36.9, adult (Use ICD-10 Code Z68.36 – Effective October 1, 2015) V85.37 Body Mass Index 37.0-37.9, adult (Use ICD-10 Code Z68.37 – Effective October 1, 2015) V85.38 Body Mass Index 38.0-38.9, adult (Use ICD-10 Code Z68.38 – Effective October 1, 2015) V85.39 Body Mass Index 39.0-39.9, adult (Use ICD-10 Code Z68.39 – Effective October 1, 2015) Keyword Tag: Billing Obesity V85.41 Body Mass Index 40.0-44.9, adult (Use ICD-10 Code Z68.41 – Effective October 1, 2015) V85.42 Body Mass Index 45.0-49.9, adult (Use ICD-10 Code Z68.42 – Effective October 1, 2015) V85.43 Body Mass Index 50.0-59.9, adult (Use ICD-10 Code Z68.43 – Effective October 1, 2015) V85.44 Body Mass Index 60.0-69.9, adult (Use ICD-10 Code Z68.44 – Effective October 1, 2015) V85.45 Body Mass Index 70 and over, adult (Use ICD-10 Code Z68.45 – Effective October 1, 2015)     Keyword Tag: Billing Obesity Who Is Covered for Billing Obesity Screening, Treatment and Counseling for Medicare? Keyword Tag: Billing Obesity Medicare beneficiaries: • With obesity (Body Mass Index [BMI] ≥ 30 kilos) • Who are competent and alert at the time counseling is provided; and • Whose counseling is furnished by a qualified primary care physician or other primary care practitioner in a primary care setting 01 – General Practice 08 – Family Practice 11 – Internal Medicine 16 – Obstetrics/Gynecology 37 – Pediatric Medicine 38 – Geriatric Medicine 50 – Nurse Practitioner 89 – Certified Clinical Nurse Specialist 97 – Physician Assistant Keyword Tag: Billing Obesity Frequency for Billing Obesity Screening, Treatment and Counseling for Medicare • First month: one visit every week; • Months 2 – 6: one visit...

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