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April 26, 2021

May is Mental Health Awareness Month

Mental Health Month is recognized with community outreach events and educational opportunities to promote importance of understanding, recognizing, and focusing mental health issues and conditions within the community.

Facts about mental health:

  • In 2015, an estimated 43.4 million American adults were diagnosed with mental illness and an estimated 9.8 million American adults were diagnosed with mental illness that affected some part of daily functioning.
  • In 2015, about one in every five adults in the US was diagnosed with mental illness and about one in every 25 adults in the US was diagnosed with mental illness that affected some part of daily functioning.
  • Severe depression affects 6.9 % of people in the US.
  • Anxiety disorders affect 18% of people in the US
  • Individuals diagnosed with heart disease are twice as likely to get diagnosed with depression as those who do not.

According to NAMI (National Alliance on Mental Illness) , millions of Americans each year are living with mental illness. (Mental Health Month | NAMI: National Alliance on Mental Illness, n.d.) NAMI’ s theme for Mental Health Awareness Month is “You Are Not Alone”. Even though there are many different options available to help screen and treat mental health conditions, about two-thirds of the individuals that have a mental health condition never talk to their health care provider or obtain treatment for their condition. Depression screening is part of the Initial Preventive Physical Examination (IPPE) and the Annual Wellness Visit (MLN6775421 Medicare Wellness Visits Educational ToolExternal Website). Depression screening is a Medicare-covered benefit for your patients. Talk to your patients about their mental health, encourage them to schedule annual wellness visit , perform depression screenings as indicated, and provide effective treatment and follow-up after depression screenings in order to promote optimal mental health and well-being in your patients.

Type of Service HCPCS Code
CPT code
Notes Link on CMS Medicare Preventive Services Website
Depression Screening HCPCS code G0444
  • Annually for all patients
  • Copayment/Coinsurance waived
  • Deductible waived
Depression ScreeningExternal Website
Annual Wellness Visit (AWV) HCPCS code G0438
HCPCS code G0439
HCPCS code G0468
CPT code 99497
CPT code 99498
  • Review Medicare guidelines for criteria for beneficiary coverage
  • Once per lifetime for G0438 (AMV-initial visit)
  • Annually for G0439 (AMV- subsequent visit) and G0468 (AMV- FQHC)
  • Annually for 99497 and 99498 (optional)
  • Copayment/Coinsurance waived
  • Deductible waived
Annual Wellness Visit (AWV)External Website
Initial Preventive Physical Examination (IPPE)

(“Welcome to Medicare Visit”)
HCPCS code G0402
HCPCS code G0403
HCPCS code G0404
HCPCS code G0405
HCPCS code G0468
  • Review Medicare guidelines for criteria for beneficiary coverage
  • Once per lifetime
  • Service must be provided no later than 12 months after the effective date of the beneficiary’s 1st Medicare Part B coverage period
Initial Preventive Physical Examination (IPPE)External Website

For More Information:

References:

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