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March 29, 2023

Behavioral counseling for obesity, HCPCS code G0447

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G0447 face-to-face behavioral counseling for obesity, 15 minutes

G0473 Face-to-face hehavioral counseling for obesity, group (2-10) 30 minutes

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 buy medical practice staff incident to the services of a physician or an NPP.

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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Relevant Search Terms: HCPCS code G0447; behavioral counseling for obesity; Medicare coverage for obesity counseling

 

Last revised March 7, 2023 - Betsy Nicoletti
Tags: primary care_preventive services, screening and counseling for behavioral conditions

CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

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Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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