ivygirl18@hotmail.com
Networker
Hello everyone,
I have a provider who is billing G0444 with Medicare wellness visits. I know this cannot be billed with G0402 and G0438, but it can be billed with G0439 and other e/m visits.
I had called my MAC and they could not give me much information about what the documentation requirements are in order to appropriately bill for this service. There are no LCDs or NCDs. I looked on the Internet Only Manual and found some information. It states they will cover an annual screening up to 15 mins in a primary care setting that have staff-assisted depression care supports in place to assure accurate diagnosis, effective treatment, and follow-up. So it can be up to 15 mins not the entire 15 mins as it states in the HCPCS? So they must document time? Can staff do this? It also states there is no required screening tools, so the PHQ-9 is okay to use(we use this as part of our MCANS).
Has anyone else been billing for this? What documentation are you requiring?
Thank you,
Abby Ronco-Hopkins, CPC, CPMA
I have a provider who is billing G0444 with Medicare wellness visits. I know this cannot be billed with G0402 and G0438, but it can be billed with G0439 and other e/m visits.
I had called my MAC and they could not give me much information about what the documentation requirements are in order to appropriately bill for this service. There are no LCDs or NCDs. I looked on the Internet Only Manual and found some information. It states they will cover an annual screening up to 15 mins in a primary care setting that have staff-assisted depression care supports in place to assure accurate diagnosis, effective treatment, and follow-up. So it can be up to 15 mins not the entire 15 mins as it states in the HCPCS? So they must document time? Can staff do this? It also states there is no required screening tools, so the PHQ-9 is okay to use(we use this as part of our MCANS).
Has anyone else been billing for this? What documentation are you requiring?
Thank you,
Abby Ronco-Hopkins, CPC, CPMA