September 1st, 2017
The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD):
|G0446 -||Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes|
Who Is Covered
All Medicare beneficiaries who are:
- Competent and alert at the time counseling is provided
- Furnished counseling by a qualified primary care physician or other primary care practitioner and in a primary care setting
Medicare Beneficiary Pays
- Copayment/coinsurance waived
- Deductible waived
Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.
Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.