Annual depression screening is highly encouraged by Medicare and is billed using G0444. However, because it is a time-based preventive code, audits frequently uncover documentation failures.
Time and Tool Requirements
G0444 is defined as "Annual depression screening, 15 minutes".
You must use a standardized screening tool (like the PHQ-9) and document the time spent administering and interpreting it. If the service takes less than 15 minutes, it technically does not meet the descriptor, though some MACs have relaxed policies if the full screening tool was completed.
Frequency Limits & Medical Necessity
Medicare pays for G0444 once every 12 months. Do not bill it if the patient already has an active diagnosis of depression or bipolar disorder, as they are already being treated for the condition (it is no longer a "screening").
NCCI Edits with AWVs
G0444 is frequently billed on the same day as an AWV (G0438/G0439). It does not require a Modifier 59 when billed with an AWV, but always check your edits if you add a sick E/M visit to the claim.