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Billing for time spent counseling for Morbid obesity when done during a Physical

Provider documents
Morbid obesity – E66.01, (HCC), 50 minutes spent with the patient, with over 50% of that spent on discussion of morbid obesity, her attempts at weight loss, the risks and benefits of bariatric surgery. Patient would like to proceed with evaluation.
This was outside of the patients AW visit of 30 minutes
The excludes note for 99404 indicates not allowed with her Physical 99395
The 50 minutes fall short of a prolonged service code
Would it be appropriate to add an E/M for weight loss counsel consideration for Bariatric surgery during her Wellness visit?
Cheri

Medical Billing and Coding Forum

Morbid Obesity with documented BMI of 34.9 or below

“Morbid Obesity” has always been supported by BMI values of 40 or more or 35-39.9 with co-morbid conditions and “Overweight” has always been supported by BMI values of 30-34.99 supports.

In ICD 10, when coding from category E66, there is an instructional note to use additional code to identify the BMI, if known.

Is it appropriate to report E66.01 (Morbid Obesity) with a documented BMI of 34.0? Does a BMI of 34.9 and below support the definition of morbid obesity?

Medical Billing and Coding Forum