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G0438 Annual wellness visit, includes a personalized prevention plan of service (PPPS), first visit. G0439 Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit.
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.
Learn how to use CPT codes G0439 and G0438 correctly to maximize revenue from Annual Wellness Visits and help make preventive medicine financially viable.
4 Φεβ 2021 · 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. This situation instead calls for...
4 Ιαν 2024 · AWV CPT Codes to Know: G0402, G0438, G0439. Different CPT billing codes reflect specific types of Medicare wellness visits. The crucial qualifying determinant is when a certain AWV can be provided and billed for.
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.
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.