Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI of ≥ 30, who are alert and able to participate in counseling.
The service may be performed by physician or non-physician practitioner (NPP) , but is also allowed to be performed by medical practice staff incident to the services of a physician or an NPP. The national Medicare fee schedule amount is about $26.
G0447 face-to-face behavioral counseling for obesity, 15 minutes
The service consists of screening for obesity, dietary assessment and intensive behavioral counseling and behavioral therapy, for eligible patients. The patient must have a BMI of ≥ 30 to be eligible for the service.
Frequency limits for G0447
There are frequency limits for this service.
- One face-to-face visit every week for the first month;
- One face-to-face visit every other week for months 2-6; and
- One face-to-face visit every month for months 7-12, if the beneficiary meets if the 3kg (6.6 lbs) weight loss requirement during the first 6 months.
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