Preventive Services: Intensive Behavioral Therapy (IBT) for Obesity

by  Find-A-Code
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 Obesity: 


G0447 - Face-to-face behavioral counseling for obesity, 15 minutes
G0473 - Face-to-face behavioral counseling for obesity, group (2–10), 30 minutes

ICD-10 Codes

Z68.30, Z68.31, Z68.32, Z68.33, Z68.34, Z68.35, Z68.36, Z68.37, Z68.38, Z68.39, Z68.41, Z68.42, Z68.43, Z68.44, or Z68.45

Who Is Covered

Medicare beneficiaries when all of the following are true:

  • Obesity (Body Mass Index [BMI] ≥ 30 kilograms [kg] per meter squared)
  • Competent and alert at the time counseling is provided
  • Counseling furnished by a qualified primary care physician or other primary care practitioner in a primary care setting


Medicare will pay for up to 22 visits billed with the codes G0447 and G0473, combined, in a 12-month period:

  • First month: one face-to-face visit every week
  • Months 2–6: one face-to-face visit every other week
  • Months 7–12: one face-to-face visit every month if certain requirements are met

Medicare Beneficiary Pays

  • Copayment/coinsurance waived
  • Deductible waived

 Other Notes

  • At the 6-month visit, a reassessment of obesity and a determination of the amount of weight loss must be performed.
  • To be eligible for additional face-to-face visits occurring once a month for months 7–12, Medicare beneficiaries must have lost at least 3 kg.
  • For Medicare beneficiaries who do not achieve a weight loss of at least 3 kg during the first 6 months, a reassessment of their readiness to change and BMI is appropriate after an additional 6-month period.

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.


Preventive Services: Intensive Behavioral Therapy (IBT) for Obesity. (2017, September 1). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (8-5 Mountain)
free demo
request yours today
free subscription
for any budget

Thank you for choosing Find-A-Code, please Sign In to remove ads.