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G0438/G04.9 and 96160

Loni Posted Thu 05th of January, 2017 17:56:22 PM
Please advise in what instance would one bill the new HRA administration code 96160 with AWV codes G0438 or G0439. Thank you.
SuperCoder Answered Fri 06th of January, 2017 03:04:23 AM

Greetings from SuperCoder.com!

 

HRAs are typically completed by a patient or caregiver prior to the encounter with a physician or other qualified health care professional, but can involve the assistance of the clinician and/or staff members.

 

An HRA may be completed before, or as part of a wellness visit. If HRA is performed as part of the Annual Wellness Visit on the same day as Annual Wellness Visit, you can not report it separately.

 

For more information, please see - https://www.cdc.gov/policy/hst/hra/FrameworkForHRA.pdfPlease feel free to write if you have any concern or questions.

 

Thanks.

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