This is a new benefit beginning for dates of service on and after 01/01/11
CPT CODE
G0438 – First visit
G0439 – Subsequent visit
No specific diagnosis code Contact the local Medicare Contractor for guidance
All Medicare beneficiaries who are no longer within 12 months after the effective date of their first Medicare
Part B coverage period and who have not received an IPPE or AWV within the past 12 months
• Once in a lifetime for G0438
• Annually for G0439
Medicare payment
Prior to 01/01/11:
• N/A
On or after 01/01/11:
• Copayment/coinsurance waived
• Deductible waived
Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)
CPT G0389 – Ultrasound exam AAA screen
No specific diagnosis code Contact the local Medicare Contractor for guidance
Medicare beneficiaries with certain risk factors for abdominal aortic aneurysm
Important – Eligible beneficiaries must receive a referral for an AAA ultrasound screening as a result of an IPPE
Once in a lifetime benefit per eligible beneficiary
Patient payment
Prior to 01/01/11:
• Copayment/coinsurance applies
• Deductible waived
On or after 01/01/11:
• Copayment/coinsurance waived
• Deductible waived
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