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In addition to the primary annual wellness visit codes (G0402, G0438, and G0439), a select list of other codes may be billed for services performed during a Welcome to Medicare visit or AWV. When using any of these codes, a separate note is required to support each rendered service.
What Is G0438? G0438 is the HCPCS code you should use when coding a patients first annual wellness visit. Its long descriptor is Annual wellness visit, includes a personalized prevention plan of service (PPPS), first visit, while its short descriptor is Annual wellness first.
INITIAL ANNUAL WELLNESS VISIT (G0438) They are eligible within 11 calendar months after their IPPE. The reimbursement is around $173.
You can bill an E/M code (Sick visit codes like 99213-99215) along with G0402, G0438, and G0439 when a sick visit is performed with a discussion about chronic conditions, which are not covered under well visit and physician is spending more time to discuss other chronic issues during well visit.
G0438 is for the first AWV, and G0439 is for subsequent AWVs. Dont bill G0438 or G0439 within 12 months of a previous G0402 (IPPE) billing for the same patient.
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Medicares AWVs do not cover: Physical examinations. Vaccinations. Medication prescription or adjustment.
HCPCS code G0438 is used to reimburse healthcare providers for a patients first annual wellness visit, provided that the patient has been enrolled in Medicare Part B for more than 12 months and has not received another AWV or initial preventive physical exam (IPPE) in the prior 12 months.

can g0439 and 99214 be billed together