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G0446 Intensive Behavioral therapy for cardiovascular disease

Julie Posted Thu 23rd of October, 2014 13:03:55 PM

Can G0446 and a E/M service be billed on the same day? If documentation supports, could modifier 25 be appended to the E/M to bypass the edit?
Can G0446 and G0438 (AWV) be billed on the same day?
Can G0446 and G0439 (subsequent AWV) be billed on the same day?

Thanks!

SuperCoder Answered Thu 23rd of October, 2014 15:48:19 PM

Thanks for your question. There are no CCI edits associated with G0446; Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes and G0438; Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit when billed together. There are also no CCI edits associated with G0446 when billed with G0439; Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. According to CCI edits, when billing an E/M code with G0446 a modifier may be used. G0446 is a column 2 code for the E/M visit when the two are billed together.

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