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  1. 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).

  2. 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.

  3. 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. 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.

  5. 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.

  6. 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.

  7. 25 Οκτ 2022 · As the primary reimbursement codes for annual wellness visits, G0438 and G0439 have two primary requirements for patient eligibility: They can be used only once every 12 months, and. The service is free to patients, as long as their provider accepts the care responsibility. Let’s take a closer look at each of these individual codes.

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