HCPCS code G0473 — Group behave couns 2-10.
Status: Active.
Effective Jan 1, 2015.
Source: CMS HCPCS Level II.
G0473
ActiveGroup behave couns 2-10
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2015
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5821
MUE — Medically Unlikely Edits
Maximum units of G0473 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0473 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0463 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)