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The new Obesity Counseling codes (long overdue) say that counseling has to be face to face with a physician or "other qualified Healthcare Practitioner" who I assume is an NP, PA, CNS, etc. I have heard from several dietitians that they intend to do this counseling in the outpatient setting and either bill it with their own NPI number (which is supposed to be used only for MNT counseling as I understand it) OR they intend to have the physician bill for their services as "incident to" billing despite the fact that the dietitians do not work for the practice. Some have suggested that all they need is a collaborative practice agreement with the physician (and other practitioners such as pharmacists use these to bill "incident to" for their services vis-a-vis comprehensive medication review), yet I have not seen anywhere that dietitians are valid providers of this service. Can anyone help me unravel WHO can bill for G0447 and under what circumstances. MLN matters does not address this directly...
Kim Kelly
Kim Kelly