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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.
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.
15 Μαρ 2011 · Medicare covers Annual Wellness Visits (AWV) with two codes G0438, Initial AWV, and G0439, Subsequent AWV. See when to use these two codes for your patients.
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...
25 Οκτ 2022 · HCPCS code G0438 is used to reimburse healthcare providers for a patient’s first annual wellness visit, provided that the patient has been enrolled in Medicare Part B for more than 12 months and has not received another AWV or initial preventive physical exam (IPPE) in the prior 12 months.
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.
