Medicare Contractors will pay claims for G0446 only when services are provided for the following Place of Service (POS):
49-Independent Clinic ; or,
71-State or local public health clinic.
For claims processed on or after April 2, 2012, Medicare will allow payment for G0446 no more than once in a 12-month period.
Medicare will not pay G0446 separately with another encounter/visit when billed on the same day. However, this does not apply to claims with the Initial Preventive Physical Examination (IPPE - HCPCS code G0402) containing modifier 59 or claims containing Diabetes Self-Management Training or Medical Nutrition Training services.