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There are three types of visits: Initial Preventive Physical Exam (IPPE) Initial Annual Wellness Visit (AWV) Subsequent AWVs.
AWV Coding. The CPT codes for Annual Wellness Visits are G0438 for the initial visit and G0439 for subsequent visits. These codes are used to bill Medicare for comprehensive wellness assessments and personalized prevention plans. It is important to remember that code G0438 is for the first AWV only.
Medicare Policies: Medicare has specific guidelines regarding Z-codes. For example, Medicare does not cover laboratory claims if Z00. 00 is the only diagnosis code provided, as it is considered a screening code.
Medicares AWVs do not cover: Physical examinations. Vaccinations. Medication prescription or adjustment.
The Current Procedural Terminology (CPT) code range for Preventive Medicine Services 99381-99429 is a medical code set maintained by the American Medical Association.
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