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Obesity Preventative Counseling

  1. Exclamation Obesity Preventative Counseling
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    We are billing G0447 to medicare in place of the standard 99202 code. Medicare is stating we need a modifier but we can't figure out which one.
    We have tried 33 and got denied already.
    We use modifier 25 for the 99212 code already.

    What modifier can we use to get reimbursement?

  2. Default
    Look at your HCPCS book for the G0447 page 67; G codes to CPT Crosswalk- CPT code 99401 states it is a separate procedure. Then go to CPT book look up 99401 , pg 38- Counseling Risk factor reduction & behavior change intervention, first paragraph

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