G0447
Behavior counsel obesity 15m
Face-to-face behavioral counseling for obesity, 15 minutes. CMS 2026 wRVU 0.45. Medicare preventive benefit covering intensive behavioral therapy (IBT) for obesity, up to 22 sessions in a 12-month period. Requires patient BMI 30 or greater documented in the chart on the date of service.
Billing guidance for G0447 is locked
- When to use it: the exact clinical situations that support billing G0447
- Documentation checklist: the 6 elements your note needs before submitting
- Common pitfalls: the 6 mistakes that get G0447 downcoded or denied
Payer notes
Medicare covers G0447 with no patient cost share for up to 22 sessions per 12-month period. Medicare Advantage plans typically follow. Commercial payer coverage varies; many do not specifically recognize G0447 and instead cover obesity counseling under 99401 to 99404 (preventive medicine counseling individual) or via 99214 with appropriate diagnosis. The 22-session structure is unique to Medicare; commercial plans usually have a different annual cap.