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Along with code G0438 or G0439, CPT code modifier -25 must be appended to the medically necessary E&M service. CPT guidelines define the -25 modifier as "Significant, separately identifiable evaluation and management (E/M) service by the same physician on the same day of the procedure or other service."
They can bill the service under the physician's NPI incident-to. The AWV is billed with two codes, G0438 and G0439, which are based on relative value units (RVUs) for 99204 and 99214 respectively.
ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Along with code G0438 or G0439, CPT code modifier -25 must be appended to the medically necessary E&M service. CPT guidelines define the -25 modifier as "Significant, separately identifiable evaluation and management (E/M) service by the same physician on the same day of the procedure or other service."
ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
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Guru. Modifier 25 is not needed when billed with G0438/G0439 and an injection. This modifier is not even an option for those HCPCS.
Some just list all the potential 'Other Medicare Part B Preventive Services', but you are correct about the G0444, that is bundled into both the G0402 and the G0438. You can bill G0444 with a G0439, the subsequent AWV, which does not list depression screening as a required element.
Z00. 00, Encounter for general adult medical examination without abnormal findings, Z00.
Code for the wellness visit. An initial annual wellness visit (G0438) can be provided 12 months after the patient first enrolled or 12 months after he or she received the IPPE. A subsequent annual wellness visit (G0439) can then be provided annually.
Subsequent AWV (G0439) (Can be billed when you reach same calendar month as previous year's visit.) At least 11 full months after G0438 or G0439. (Can be billed when you reach same calendar month as previous year's visit.)

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