Good morning all - I have had providers asking if they are able to bill the G2211 with a PHQ9 and this was the response from our RCM team. I would be curious is you all agree?
Also can it be billed when completing a TCM?
For Medicare patients, depression screening is only covered annually with code G0444. It is a time-based code and the provider has to document that at least 5 minutes was spent on depression screening. If G0444 is reported with an E/M service, modifier 25 is required, so G2211 will not be covered.
For commercial payers, we generally use code 96127 for depression screening and based on CCI edits there is not a need for modifier 25 when billed with an E/M service. However, payer policies might vary on this (some might require a modifier) and whether or not they pay for the G2211 in this situation or at all
thanks in advance![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Also can it be billed when completing a TCM?
For Medicare patients, depression screening is only covered annually with code G0444. It is a time-based code and the provider has to document that at least 5 minutes was spent on depression screening. If G0444 is reported with an E/M service, modifier 25 is required, so G2211 will not be covered.
For commercial payers, we generally use code 96127 for depression screening and based on CCI edits there is not a need for modifier 25 when billed with an E/M service. However, payer policies might vary on this (some might require a modifier) and whether or not they pay for the G2211 in this situation or at all
thanks in advance