AHA Coding Clinic® for HCPCS - 2012 Quarter 2; For Your Information
Intensive Behavioral Therapy for Cardiovascular Disease
According to CMS the HCPCS code, G0446 , Intensive behavioral therapy to reduce cardiovascular disease risk, individual, face-to-face, bi-annual, 15 minutes, effective since November 8, 2011, is reportable for intensive behavioral therapy provided for cardiovascular disease when the therapy consists of the following three (3) components: Encouraging aspirin use for the primary prevention of cardiovascular disease when the benefits outweigh the risks for men age 45-79 years and women 55-79 years; Screening for high blood pressure in adults age 18 years and older; and, Intensive behavioral counseling to promote a healthy diet for adults with hyperlipidemia, hypertension, advancing age, and...
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Article Overview
This article explains CMS guidance on a preventive behavioral therapy service related to cardiovascular disease risk reduction. It is relevant for coding and billing professionals, preventive care clinicians, and compliance staff who need a general understanding of the service, its setting, frequency, and the types of preventive counseling topics covered. The article also notes the effective date and Medicare reporting context.
Why This Topic Matters
Understanding this CMS guidance helps support accurate reporting and alignment of preventive services documentation with Medicare requirements.
What You Will Learn
- The scope of a CMS preventive behavioral therapy service for cardiovascular disease risk reduction
- The general clinical topics addressed within the counseling service
- The Medicare reporting context and timing mentioned in the article
- The effective date associated with the service guidance
Who Should Read This
- Medical coders
- Billing specialists
- Compliance professionals
- Preventive care providers
- Practice managers
Codes Discussed
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