Reminder of proper depression screening coding

Date: 06/20/23

Depression screening and follow-up visits for adolescents and adults is a key part of HEDIS® measures for our Commercial, Marketplace, Medicaid, and Medicare lines of business. Proper coding of this measure means that any gaps in care will be closed.

To support you, Arkansas Total Care will pay $0.01 for the HCPCS codes below. This will allow you to bill for these services without getting a denial for non-payable codes.

The following codes should be billed on all claims and encounters when applicable:

G8431	Screening for depression is positive. A follow-up plan is documented.
G8510	Screening for depression is negative. A follow-up plan is not required.

For more information about these and other quality measures, visit our For Providers page here.