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Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD) (NCD 210.11)

Also known as a CVD risk reduction visit

HCPCS/CPT Codes


G0446 – Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes

ICD-10-CM (ICD-9-CM) Codes


No specific diagnosis code

Contact local Medicare Administrative Contractor (MAC) for guidance

Who Is Covered


All Medicare beneficiaries:

  • Who are competent and alert at the time counseling is provided; and
  • Whose counseling is furnished by a qualified primary care physician or other primary care practitioner and in a primary care setting

Frequency


One CVD risk reduction visit annually

Beneficiary Pays


  • Copayment/coinsurance waived
  • Deductible waived

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