Medicare pays for some screening services for its beneficiaries, using HCPCS codes. These screening codes are time-based HCPCS codes with relatively low wRVU values and payment. Some may be done by staff members. Some may be billed with other Medicare services. Some may be only done in primary care practices. Some will require a specific diagnosis code and have frequency limitations.

This coding guide includes an explanation of the guidelines for each of these codes, and information about bundling, diagnosis coding, specialty and site of service restrictions, and much more.

The screening codes included in this guide are:

• G0442 & G0443 – Screening for alcohol misuse and brief behavioral counseling
• G0444 – Annual depression screening code
• G0446 – Intensive behavioral counseling for cardiovascular disease, HCPCS code
• G0447 – Behavioral counseling for obesity, HCPCS code
• G0537, G0538 – Atherosclerotic Cardiovascular Disease (ASCVD) Risk Assessment, Management
• Screening for Other Sexually Transmitted Illnesses (STI)
• High Intensity Behavioral Counseling to Prevent (STI) and PrEP

Other Guides

• How Physician Services are Paid
• Risk Adjusted Diagnosis Coding for Medical Practices
• Critical Care Services
• More