This policy describes Optum’s requirements for the reimbursement and documentation of “Obesity Screening and Counseling” – CPT codes 99401 and 99402, and HCPCS procedural codes G0446, G0447 and G0473.
What does CPT code 99401 mean?
CPT code 99401: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes.
What is the CPT code for obesity counseling?
What is code g0447?
The service consists of screening for obesity, dietary assessment and intensive behavioral counseling and behavioral therapy, for eligible patients. …
What is included in CPT code 99395?
CPT® 99395 in section: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and … more.
What is procedure code 99402?
CPT® 99402, Under Preventive Medicine, Individual Counseling Services. The Current Procedural Terminology (CPT®) code 99402 as maintained by American Medical Association, is a medical procedural code under the range – Preventive Medicine, Individual Counseling Services.
What does CPT code 99397 mean?
commercial Health Maintenance visit
What is the ICD 10 code for obesity?
What does CPT code 97802 mean?
Medical nutrition therapy
Does Medicare pay for obesity treatment?
Obesity screenings and behavioral counseling are considered preventive services, which are covered under Medicare Part B. Part B is one part of original Medicare. Most of these services will cost you nothing out of pocket as long as you’ve met your Part B deductible for the year.
What is CPT code g0446?
Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446. Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral counseling session for cardiovascular disease.
What are the 6 sections of CPT?
They are divided into six sections: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine. Each of these sections has its own subdivisions, which correspond to what type of procedure, or what part of the body, that particular procedure relates to.
Does g0447 need a modifier?
Medicare and Medi-Cal – Use the Z-code for BMI as the primary diagnosis on the line item and use CPT code G0447. Put a 25 modifier on your office visit. … Use the Z-code for BMI as the secondary diagnosis on the line item and use CPT code G0447. Put a 25 modifier on your office visit and a 59 modifier on the G0447.
Can 99213 and 99395 be billed together?
can be used 99213 with 99395 at the same visit? Absolutely! You would use the modifier -25 on the 99213. Look at the Preventive Medicine section in CPT® and this is outlined in the narrative explanation prior to the actual listing of codes.
What is the CPT code 99212?
CPT Code 99212: Evaluation and Management Description
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three components to be present in the medical record: A problem focused history. A problem focused examination.
What does CPT code 99213 mean?
CPT Code 99213 can be utilized for a mid-level outpatient or inpatient office visit. CPT Code 99213 is a level three code that should be used for an established patient. It cannot be used with a new patient who has no history.