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2025 HCPCS code G0447

Face-to-face behavioral counseling for obesity, 15 minutes.

This code should not be billed alongside other visit codes for the same date of service. It is intended for qualified primary care physicians or practitioners in a primary care setting. Proper documentation is crucial to avoid claim denials.

Modifiers may be applicable in certain situations. Refer to specific payer guidelines for details.

Medical necessity is established by a diagnosis of obesity (BMI ≥ 30 kg/m²) and the patient's willingness to participate in a structured weight loss program.

The healthcare provider is responsible for assessing the patient's BMI, nutritional status, and readiness to change. They advise on diet, exercise, and other behavioral modifications. They must also document the counseling session, including the patient's progress and any barriers encountered.

In simple words: This code covers a 15-minute in-person session with a healthcare provider to discuss and manage obesity through lifestyle changes like diet and exercise. It's part of a program where the provider checks in regularly to see how you are doing and offer support.

This code covers a 15-minute, face-to-face session of behavioral counseling provided to a patient for obesity management. The counseling should focus on lifestyle modifications, such as diet and exercise, to promote weight loss. It's part of a structured program that involves regular follow-up visits to monitor progress and provide ongoing support. The program typically includes weekly visits for the first month, bi-weekly visits for months 2-6, and then monthly visits for months 7-12 if the patient has lost at least 3 kg in the first six months.

Example 1: A patient with a BMI of 35 visits their primary care physician for obesity counseling. The physician discusses healthy eating habits and develops an exercise plan with the patient., A patient who has been undergoing obesity counseling for 3 months returns for a follow-up visit. The provider assesses the patient's progress, adjusts the plan as needed, and provides motivational support. , A patient with a BMI of 40 has completed 6 months of obesity counseling and has lost 4 kg. They continue with monthly visits to maintain their progress.

Documentation should include the patient's BMI, details of the counseling session (topics discussed, recommendations given), assessment of the patient's progress, any barriers to adherence, and a plan for future visits.

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