Friday, April 22, 2016

CPT CODE G0446 AND covered frequency

Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD) Also known as a CVD risk reduction visit


HCPCS/CPT Codes

G0446 – Annual, face-to-face intensive behavioral therapy for cardiovasculardisease, individual, 15 minutes


ICD-10-CM Codes
See https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html for individual Change Requests (CRs) and coding translations for ICD-10


Who Is Covered
All Medicare beneficiaries:

• Who are competent and alert at the time counseling is provided; and
• Whose counseling is furnished by a qualified primary care physician or other primary care practitioner and in a primary care setting


Frequency
One CVD risk reduction visit annually


Beneficiary Pays
• Copayment/coinsurance waived
• Deductible waived

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