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First annual wellness visit providing personalized prevention plan services means the following services furnished to an eligible beneficiary by a health professional that include, and take into account the results of, a self-reported health risk assessment.
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.
HCPCS G0439 is used to code all subsequent Medicare annual wellness visits that occur after the initial AWV (G0438). So, if used correctly, G0439 would not be used until G0402 was used to code the IPPE and G0438 was used to code the initial AWV.
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.
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.
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.
Understanding the billing codes for Medicare Annual Wellness Visits (AWVs) can provide a better idea of what is expected, both by the patient and by the payer. Understanding billing codes may also help you project revenues and optimize your staff’s capacity.
