HCPCS code G8417: BMI is Documented Above Normal Parameters, and a Follow-up Plan is Documented

No, G8417 is typically a quality measure code and is not associated with direct reimbursement. Its primary purpose is for reporting on quality metrics for programs like MIPS. Some commercial payers may offer small incentives for reporting these codes, so it's best to check with the specific payer's guidelines.

No. To meet the documentation requirements for this code, an eligible clinician or their staff must take the height and weight measurements. Self-reported values are not acceptable.

A follow-up plan must be based on the documented BMI and can include a wide range of documented actions, from patient education on diet and exercise to referrals for counseling, nutrition services, or even surgical evaluation for bariatric procedures. The key is that it must be a documented plan of action to address the patient's BMI.