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

dballard2004

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Gower, MO
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PARIHE

New
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Cape Coral, FL
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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

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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???
 

caroline

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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

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Saint Augustine, Florida
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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?:confused:
 
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