G0444 Annual depression screening , 5—15 minutes

According to Change Request 13710, beginning January 1, 2025, Medicare pays primary care practices to screen all Medicare patients annually for depression. The service must be provided in a primary care setting, in place of service office, outpatient hospital, independent clinic or in one of the following:

• 02 Telehealth provided other than in patient’s home
• 10 Telehealth provided in patient’s home
• 11 Physician’s office
• 19 Off-campus outpatient hospital
• 22 On campus outpatient hospital
• 49 Independent clinic
• 71 State or local public health clinic

Who can perform the service?

This service could be done by a physician or non-physician practitioner (NPP).  However, Medicare allows it to be done by staff members, according to the MLN Matters article below.

It must be done in a primary care setting with “staff-assisted depression care supports in place.”  What does that mean? From the MLN Matters article:

“At a minimum level, staff-assisted depression care supports consist of clinical staff (e.g., nurse, Physician Assistant) in the primary care office who can advise the physician of screening results and who can facilitate and coordinate referrals to mental health treatment.

More comprehensive care supports include a case manager working with the primary care physician; planned collaborative care between the primary care provider and mental health clinicians; patient education and support for patient self-management; plus attention to patient preferences regarding counseling, medications, and referral to mental health professionals  with or without continuing involvement by the patient’s primary care physician.” (MedLearn Matters MM7637 Revised, CR release date March 23, 2012, page 4)