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HCPCS (2026) Coder Note G0447 Medicare Benefit Structure Medicares Intensive Behavioral Therapy (IBT) for obesity benefit (G0447) requires: BMI 30 documented, provided by primary care physician in a primary care setting, with documented behavioral counseling (not just dietary advice)

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Providers can also screen and manage related chronic conditions such as type 2 diabetes, high cholesterol and hypertension, helping close additional care gaps during treatment

She received dual bachelors degrees in nutrition

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Additionally, older adults have different goals of treatment than younger adults, making it unwise to assume that if a medication works for younger adults, its good enough for older ones, too