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Preventive Services: The Initial Preventive Physical Exam and

Preventive Services: The Initial Preventive Physical Exam and 2025

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This document is a transcript of a National Provider Call hosted by the Centers for Medicare & Medicaid Services (CMS) on March 28, 2012, focusing on Medicare's Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV). The call includes presentations from CMS experts discussing eligibility, billing procedures, coding requirements, and the importance of preventive services in healthcare. It also features a question-and-answer session addressing various concerns from healthcare providers regarding these services.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is initial preventive physical examination?

The Initial Preventive Physical Examination (IPPE) is also known as the Welcome to Medicare Preventive Visit. The IPPE is a preventive visit offered to newly-enrolled Medicare beneficiaries. Despite its name, the IPPE does not include an extensive physical examination.

What is the difference between IPPE and initial AWV?

Q - Is the IPPE the same as the initial AWV? A - No, the IPPE is the Initial Preventive Physical Examination, also known as the Welcome to Medicare visit (G0402), while the initial AWV (G0438) is the patients first Medicare AWV following the IPPE.

What is initial AWV?

The Annual Wellness Visit (AWV) allows practices to gain information about the patient, including medical and family history, health risks, and specific vitals. Not to be confused with a complete physical examination, the purpose of the AWV is to review the patients wellness and develop a personalized prevention plan.

Can an IPPE and AWV be billed together?

No specific diagnosis code is required and the deductible and coinsurance are waived. The AWV cannot be combined with the IPPE . All the following elements must be completed to bill an AWV . If all are not provided, bill the most appropriate E/M code.

What is the difference between IPPE and AWV?

Quick Facts: Comparing IPPE, AWV, Annual Physical IPPE (G0402): One-time, within the first 12 months of Part B enrollment, comprehensive review and preventive education. AWV (G0438/G0439): Annual, focuses on developing/updating a personalized prevention plan based on a health risk assessment.

What are the preventive services for Medicare?

Preventive services include exams, shots, lab tests, and screenings. They also include programs for health monitoring, and counseling and education to help you take care of your own health.

What are the different types of AWV?

There are three types of visits: Initial Preventive Physical Exam (IPPE) Initial Annual Wellness Visit (AWV) Subsequent AWVs.

Preventive Services: The Initial Preventive Physical Exam and 2025

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