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Thread: Medicare covers screening and counseling for obesity

  1. #11

    Default Thanks everyone

    Thanks everyone for the info. It is appreciated. Please keep sharing the info as it becomes available. Vicky

  2. #12
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    Hi, all. Had an "Ask the Contractor Conference" with our local carrier, NHIC yesterday. the MedLearn Matters article on Obesity screening is forthcoming, but they did acknowledge that it's not out yet. (although we are supposed to be able to bill for it next week.....).

    As soon as I see it, I'll post the link. Happy New Year to All! Pam
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #13
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    Default

    Thanks Pam! Happy New Years!

  4. #14
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    Default

    According to 2012 HCPCS, here are the screening codes:

    G0442, Annual alcohol misuse screening, 15 minutes

    G0443 Brief-face-to-face behavioral counseling for alchohol misuse, 15 minutes. See CMS 100-04-Chapter 18, 180.1-180.5 for details.
    No MedLearn Matters article on this yet.

    G0444 Annual Depression Screening, 15 minutes. See Medlearn Matters MM7637 for details

    G0446 Intensive Behavioral Therapy to reduce CVD Risk, bi-annual, 15 minutes. See MedLearn Matters MM7636.

    G0447 Face-to-face behavioral counseling for obesity, 15 mnutes
    G0449 Annual face-to-face obesity screening, 15 minutes (no current MLM article on these two, as of this a.m.).

    Also new is the G0445, high intensity behavioral counseling to prevent Sexually transmitted infections, bi-annually for 30 minutes. I haven't seen a MLM article on this, but I haven't really looked....anyone?

    I don't have a fee schedule or RVUs for these yet...does anyone have this info? This will determine whether my docs want to build EHR templates to support the billing of these kinds of visits. ROI, and all of that, you know!

    Pam
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  5. #15
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    Here's the decision memo for Screening for STIs and high-intensity behavioral counseling....

    https://www.cms.gov/medicare-coverag...aspx?NCAId=250

    No MLM articles on this or the obesity yet.
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  6. #16
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    Default Med Learn Matters MM7633

    Just thought I'd chime in on this as I am actually working on this issue as we speak, reviewing etc...

    There is a MedLearn Matters article on the Annual Alcohol Misuse, 15 minutes G0442 and Brief face-to-face Behavioral Counseling Interventions, 15 minutes G0443.

    http://www.cms.gov/MLNMattersArticle...ads/MM7633.pdf
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  7. #17
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    This just in...G0449 has already been deleted-see below-

    HCPCS code G0447 has been assigned to APC 0432 and given a status indicator assignment of “S.” Further reporting guidelines on intensive behavioral therapy for obesity will be provided in a future CR.
    CMS is deleting screening code G0449 (Annual face to face obesity screening, 15 minutes) previously released on the 2012 HCPCS tape, from the OPPS addenda, effective November 29, 2011. This screening service will now be identified using ICD-9 screening and diagnosis codes. Coding and billing instructions will be issued in an upcoming CR.

    http://www.cms.gov/transmittals/2011...mid=CMS1255229
    Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC
    AAPC ICD-10-CM/PCS Training Expert


    Kindness is contagious-PASS IT ON!

  8. #18
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    Thanks, Brenda. If you see the CR, can you let us know?
    Pam
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  9. #19
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    Will do!
    Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC
    AAPC ICD-10-CM/PCS Training Expert


    Kindness is contagious-PASS IT ON!

  10. #20

    Default

    Perhaps I have missed something, but in reading through all the MLN Matters Articles and the CMS Transmittals on all of these new services, there is only mention of the HCPCS G codes to report. I find nothing on what ICD-9-CM codes we are to report for these services. Does anyone know what ICD-9-CM codes we are to use? Did I miss this info somewhere?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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