Also known as a Cardiovascular Disease Risk Reduction Visit |
Who Is CoveredAll 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 Note: During this visit, your doctor may discuss aspirin use (if appropriate), check your blood pressure, and give you tips to make sure you're eating well. |
HCPCS/CPT CodesG0446 - Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
ICD-10-CM CodesSee the CMS ICD-10 webpage for individual Change Requests (CRs) and coding translations for ICD-10 and contact your Medicare Administrative Contractor (MAC) for guidance. |
FrequencyOne CVD (Cardiovascular disease) risk reduction visit annually |
Medicare Beneficiary Pays• Copayment waived • Coinsurance waived • Deductible waived |
ReferencesCDC's National Center for Chronic Disease Prevention and Health PromotionNational Heart, Lung, and Blood Institute American Heart Association - Information About Cholesterol Medicare & You: heart disease (video) |
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