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

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default New Medicare Services for Obesity Therapy and Screening and Counseling for STIs
    Medical Coding Books
    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/MLNMattersArticle...ads/MM7641.pdf

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

    http://www.cms.gov/MLNMattersArticle...ads/MM7610.pdf
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. Default 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

  3. Default
    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???

  4. Default
    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.

  5. #5
    Location
    Jacksonville, FL (90417)
    Posts
    27
    Default Has anyone received denials for these services ...
    Quote Originally Posted by caroline View Post
    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?
    Melonie

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