Thursday, February 11, 2016

CPT CODE G0438, AG0439, HOW often can perform ?

Annual Wellness Visit (AWV)

HCPCS/CPT Codes

G0438 – Initial visit
G0439 – Subsequent visit

ICD-10-CM Codes

See https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html for individual Change Requests (CRs) and coding translations for ICD-10


Who Is Covered

All Medicare beneficiaries:
  Who are not within 12 months after the effective date of their first Medicare Part B coverage period; and

• Who have not received an Initial Preventive Physical Examination (IPPE) or AWV within the past 12 months

Frequency

• Once in a lifetime for G0438 (first AWV); or

• Annually for G0439 (subsequent AWV)

Beneficiary Pays
• Copayment/coinsurance waived
• Deductible waived

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