Medical nutritional therapy codes (97802, 97803, S9470) may be billed when counseling patients on obesity or weight management. These codes are compatible with any diagnosis but are most appropriate or intended for illness or disease-related diagnoses such as obesity or diabetes.
The suggested coding for counseling for a healthy diet includes 99401-99404, 99411-99412, 99078, 97802-97804, G0447, S9452, S9470 as preventive with Z71.3 (ICD-10-CM). Refer to the information below for screening and other services not subject to PPACA.
Group therapy services are generally only covered when submitted with diagnosis codes for anorexia, bulimia, diabetes, congestive heart failure and some maternity diagnosis codes. Outpatient hospital eating disorder services are billed under revenue code 0942 and procedure codes 97802, 97803 and 97804.
The suggested coding for obesity screening and counseling includes 97802-97804, 99078, 99401-99404, 99411-99412, G0447 or S9470 as preventive with E66.9 or E66.01 (ICD-10- CM). The suggested coding for counseling for a healthy diet includes 99401-99404, 99411-99412, 99078, 97802-97804, G0447, S9452, S9470 as preventive with Z71.3 (ICD-10-CM).
E63. 9 - Nutritional deficiency, unspecified. ICD-10-CM.
Persons encountering health services in other specified circumstancesZ76. 89 is a valid ICD-10-CM diagnosis code meaning 'Persons encountering health services in other specified circumstances'. It is also suitable for: Persons encountering health services NOS.
Code Z13. 89, encounter for screening for other disorder, is the ICD-10 code for depression screening.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
For claims for screening for syphilis in pregnant women at increased risk for STIs use the following ICD-10-CM diagnosis codes: • Z11. 3 - Encounter for screening for infections with a predominantly sexual mode of transmission; • and any of: Z72.
Z13. 4*- Encounter for screening for certain developmental disorders in childhood.
39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.
R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.
R53. 83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-CM Code for Anorexia R63.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Code the initial visit as a new visit, and subsequent treatment visits as established with the E/M code 99211.
ICD-10 Code for Person consulting for explanation of examination or test findings- Z71. 2- Codify by AAPC.
Encounter for other administrative examinations The 2022 edition of ICD-10-CM Z02. 89 became effective on October 1, 2021. This is the American ICD-10-CM version of Z02.
The 2022 edition of ICD-10-CM E63.9 became effective on October 1, 2021.
Clinical Information. A condition caused by not getting enough calories or the right amount of key nutrients, such as vitamins and minerals, that are needed for health.
Disorder of nutrition due to unbalanced or insufficient diet or to defective assimilation or utilization of nutrients.
The suggested coding for obesity screening and counseling includes 97802-97804, 99078, 99401-99404, 99411-99412, G0447 or S9470 as preventive with E66.9 or E66.01 (ICD-10- CM).
Services for obesity/weight management counseling may be billed under E/M codes (99201-99215) provided that those services meet the components of an E/M service. These E/M codes are compatible with all causes, illness or routine related, and will pay according to the diagnosis submitted.
This code is to be billed for all individual reassessments and all interventions after the initial visit (see 97802). This code should also be used when there is a change in the patient’s medical condition that affects the nutritional status of the patient (see the heading, Additional Covered Hours for Reassessments and Interventions).
Claims submitted with these procedure/service codes and a routine diagnosis code will process according to the patient’s preventive benefit, provided the patient has coverage for preventive services. If CPT codes 99401-99404 were submitted with a diagnosis of obesity the claim would reject because the service was incompatible with the diagnosis.