Wiki New Medicare Services for Obesity Therapy and Screening and Counseling for STIs

[dballard2004]

CMS has issued two new MLN Matters articles outlining the HCPCS and ICD-9-CM codes for the new obesity counseling and screening and counseling for STIs services.

For the obesity counseling, please reference MLN Matters Article MM7641:

http://www.cms.gov/MLNMattersArticles/downloads/MM7641.pdf

For screening and counseling for STIs, please reference MLN Matters Article MM7610:

http://www.cms.gov/MLNMattersArticles/downloads/MM7610.pdf

 

[PARIHE]

CPC Quality Improvement

Has anyone found what CMS is requiring in regards to specific documentation that is needed for G0447-G0449 ?
Can G0447-G0449 be billed on same date as an E/M visit ?
Thank you
Bella

 

[efuhrmann]

The only documentation I have found is in the MM7641 in a yellow box it states "Obesity counseling is not separately payable with another encounter/visit on the same day. This does not apply for IPPE claims, claimscontaining mod 59, and 77XXX claims containing Diabetes Self-Management Training and Medical Nutrition Therapy services". I interpret that we cannot bill an office visit with the obesity counseling???

 

[caroline75771]

I think the encounter/visit on the same day billed with G0447 only applies to Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC).

There's currently no CCI edits when billing both (G0447 & EM) in an office setting.

 

[MLWILLINGHAM]

Has anyone received denials for these services ...

I think the encounter/visit on the same day billed with G0447 only applies to Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC).

There's currently no CCI edits when billing both (G0447 & EM) in an office setting.

... in the physician office setting?