Wiki GLP-1/Weight Management

Our office recently started doing GLP-1/Weight management visits with one of our PAs and we are trying to figure out the appropriate way to bill for these visits.

We've billed some with E/M codes, but now thinking about it, we are wondering if a code from 99401-99404 would be more appropriate (only if discussed weight management without going over chronic conditions [i.e., diabetes, htn, hyperlipidemia]); if weight management + chronic conditions discussed, then would 9921X-25 and 9920X be more appropriate?

Thank you!

The preventive counseling codes 99401-99494 are to provide the patient with strategies to prevent disease. From a 'weight' perspective you might counsel a teenager who has a slightly elevated BMI and provide them with strategies to prevent obesity. Since you are performing medication management for a patient who has documented obesity, there's no prevention here. This is treatment. Use the E&M codes.

Pam Warren said:

The preventive counseling codes 99401-99494 are to provide the patient with strategies to prevent disease. From a 'weight' perspective you might counsel a teenager who has a slightly elevated BMI and provide them with strategies to prevent obesity. Since you are performing medication management for a patient who has documented obesity, there's no prevention here. This is treatment. Use the E&M codes.

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Thank you so much!