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G0439 Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit. Medical Necessity. Medicare Billing. First annual wellness visit (only one initial AWV per beneficiary per lifetime).
Learn how to use CPT codes G0439 and G0438 correctly to maximize revenue from Annual Wellness Visits and help make preventive medicine financially viable.
You can only bill G0438 or G0439 once in a 12-month period. G0438 is for the first AWV, and G0439 is for subsequent AWVs. Don’t bill G0438 or G0439 within 12 months of a previous G0402 (IPPE) billing for the same patient. We deny these claims with messages indicating the patient reached the benefit maximum for the time period.
4 Φεβ 2021 · 1. Billing a G0438 (initial Medicare AWV) or G0439 (subsequent Medicare AWV) when the patient has been enrolled in Medicare Part B for 12 months or less.
The G0439 CPT code is used for Medicare’s annual wellness visit, which includes the personalized prevention plan of service (PPPS), subsequent visit. Medicare covers the G0439 code for subsequent AWVs once every 12 months.
4 Ιαν 2024 · G0439 CPT code description. Subsequent Annual Wellness Visit (G0439): Is the yearly follow-up to an Initial Annual Wellness Visit. Eleven full months after the Initial Annual Wellness Visit, a patient can attend these visits to modify and maintain their preventive care plan, based on how their health is at any given time.
Coding and Billing a Medicare AWV. G0438: Annual wellness visit, includes a personalized prevention plan of service (PPS), initial visit. G0439: Annual wellness visit, includes a personalized prevention plan of service (PPS), subsequent visit.