G8417 - Documentation that BMI is above normal range with follow-up plan recorded
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This code indicates that a healthcare provider has calculated and documented that a patient's Body Mass Index (BMI) is above normal parameters (typically meaning overweight or obese range) and has also documented a specific follow-up plan to address this finding. BMI is a measurement that uses height and weight to estimate body fat and assess weight categories. This code represents the administrative tracking of proper documentation practices rather than a specific medical procedure or treatment.
Additional Information
This is a documentation and quality reporting code rather than a billable service code. It tracks whether proper clinical documentation standards are being met for patients with elevated BMI measurements.
Category
Quality Reporting/Documentation
Medical Specialty
Primary Care/Preventive Medicine
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- BMI calculation
- Clinical assessment
- Documentation of follow-up plan
What to Expect After
- Implementation of documented follow-up plan
- Monitoring of weight management progress
- Potential referrals as indicated in follow-up plan
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
Want This Level of Detail on All Your Claims?
Get detailed explanations for every medical code on your Medicare bills. Currently supporting Medicare only.