HCPCS Code G8431: Screening for Depression Is Documented as Being Positive and a Follow-Up Plan Is Documented

Yes. You can report G8431 when the screen and follow-up plan occur during a real-time virtual visit and the note includes the validated screening tool, the positive result, and the plan. Add the telehealth modifier your payer requires and ensure the platform and documentation meet policy standards.

Any actionable, documented plan qualifies. That can be a referral to behavioral health, in-clinic counseling with a licensed professional, medication initiation with monitoring, or a scheduled safety check with specific return precautions. The key is a clear plan with timing and accountability.

Frequency depends on payer policy and program design. Many plans allow reporting at multiple well-child visits in the early months when post partum depression screening assessments are recommended, but the code is typically reported once per date of service. Follow your state Medicaid or plan rules if the screen is billed under the infant’s record and make sure documentation shows the mother screens positive and a follow-up plan is in place.