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Medicare covers screening and counseling for obesity

  1. #1
    Default Medicare covers screening and counseling for obesity
    Exam Training Packages
    Medicare annouced they will cover screening and counseling for obesity in primary care offices? What CPT and ICD9 can be used?

    CPT
    G0270 and G0271
    97802 97803

    Dx

    V85.** or V65.3
    278.00

    All responses are appreciated


    Thanks
    Last edited by perkins05; 12-12-2011 at 12:24 PM.

  2. #2
    Default
    I am currently waiting for them to come out with codes as well. In the CMS memo someone asked what the codes would be and CMS response was they are currently creating CPT codes for the obesity counseling. Hopefully we will know soon.

    Jessica

  3. #3
    Default
    Thanks

  4. #4
    Cool Obesity coding
    Hello Everyone,

    Have the physician document the obesity. "Morbid obesity" requires a BMI of >40

    I have worked with physician documentation of obesity recently because of all the new buzz and I just train the physicians to document the type of obesity and BMI status. Also need to document what, how they are treating the patient with obesity diagnosis.

    278.00 is a BMI between 30-39.9 that's where most fall. They key is documentation.

    It helps HCC risk adjusters to have the BMI and a Morbid obersity code or it won't adjust, dependfing on their risk schedule.

    Hope this helps
    KL
    CCS, RHIT, CPC, CMBS

  5. #5
    Exclamation screening for obesity
    New HCPCS codes for screen for obesity (G0447 and G0449)

    If you billed these codes G0447 or G0449 with a wellness visit or an office visit would the office visit or prevent get bundled to G0447/G0449?

  6. Default About correct CPT and DX codes to use for obesity counseling/screening
    I know that Medicare/CMS recently approved to pay for obesity counseling and screening, but does anyone know when this will take effect? I have been looking online, but have not found a specific effective date. Also, do anyone know the procedure codes and dx codes that will be used. Please respond. Thanks!

  7. #7
    Default
    Hi Jessica I found this today...

    Effective Date: January 1, 2012


    https://www.cms.gov/MLNMattersArticl...ads/MM7668.pdf
    or
    http://heartandhealth.com/news/


    Thanks everyone for your responses

  8. #8
    Location
    Columbia, MO
    Posts
    12,573
    Default
    Quote Originally Posted by perkins05 View Post
    Hi Jessica I found this today...

    Effective Date: January 1, 2012


    https://www.cms.gov/MLNMattersArticl...ads/MM7668.pdf
    or
    http://heartandhealth.com/news/


    Thanks everyone for your responses
    Is this the correct link for Med Learn? it is an article on OPPS for the comming year.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9
    Location
    Dover Seacoast New Hampshire
    Posts
    1,971
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    That's not the correct link; it's for OPPS. There are Medlearn matters articles for Depression, ETOH and CVD screening HCPCS codes. Still waiting for guidance for the Obesity screening.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

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

  10. #10
    Location
    Columbia, MO
    Posts
    12,573
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    Thanks Pam, I have been looking and waiting for this as well, let me know when you get something, I will do the same. Thanks again!

    Debra A. Mitchell, MSPH, CPC-H

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