Common Codes Used in Weight Loss Treatment with ICDCM

Common Codes Used in Weight Loss Treatment with ICDCM

If you are in the healthcare industry, you may already know how important it is to use accurate and specific codes when providing treatment to patients. One of the areas where this becomes crucial is in weight loss treatment. In this article, we will discuss the common codes used in weight loss treatment with ICDCM that you need to be aware of.

Overweight and obesity are on the rise globally, and they are associated with serious health problems such as diabetes, heart disease, and some cancers. The need for effective weight loss treatment is, therefore, critical. ICDCM codes can help healthcare providers classify the diagnosis and treatment of overweight and obesity so that they can be properly reimbursed.

Let’s look at some of the codes that are often used in weight loss treatment:

ICD-10-CM codes:
E66.3 – Overweight
E66.9 – Obesity, Unspecified
E66.01 – Morbid (severe) obesity due to excess calories
E66.2 – Morbid (severe) obesity with alveolar hypoventilation
E66.8 – Other obesity, including overweight
E66.9 – Obesity unspecified
Z68.25 – Body mass index (BMI) 25.0-29.9, adult

CPT codes:
97802 – Medical nutrition therapy; initial assessment and intervention, individual, face-to-face, with the patient, each 15 minutes
97803 – Medical nutrition therapy; re-assessment and intervention, individual, face-to-face, with the patient, each 15 minutes
97804 – Medical nutrition therapy; group (2-10), each 30 minutes

Medical nutrition therapy is an essential part of weight loss treatment, and the above CPT codes help define the time spent on providing this type of therapy. It’s important to ensure that the codes applied correspond accurately to the services provided to give insights into the treatment outcomes.

Often, patients seeking weight loss treatment may require bariatric surgery. For this, several codes cover it, including HCPCS codes and various CPT codes, depending on the type of surgery.

HCPCS codes:
G0101 – Cervical or vaginal cancer screening; pelvic and clinical breast examination
G0296 – Counseling visit to discuss need for lung cancer screening using low dose CT scan (LDCT) (service is for eligibility determination and shared decision making related to the scan)
G0447 – Face-to-face behavioral counseling for obesity
G0473 – Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes

CPT codes:
43644 – Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (Roux limb 150 cm or less)
43770 – Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
43774 – Laparoscopy, surgical, gastric restrictive procedure; vertically banded gastroplasty
43842 – Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty
43999 – Unlisted procedure, stomach

In conclusion, when providing weight loss treatment, accurate coding not only helps with reimbursement but also provides insights into the outcomes of the treatment. It’s essential to work with your healthcare providers to ensure that specific codes are assigned correctly and that the treatment plan accurately matches the codes assigned.

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