HCPCS/CPT Codes
- G0438 – Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit
- G0439 – Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit
Who Is Covered
All Medicare beneficiaries who are both,
- Not within 12 months after the effective date of their first Medicare Part B coverage period
- Have not received an Initial Preventive Physical Examination (IPPE) or AWV within the past 12 months
Frequently Used ICD
- Z00.00 - Encounter for general adult medical examination without abnormal findings
- Z00.01 - Encounter for general adult medical examination with abnormal findings
- Z00.121 - Encounter for routine child health examination with abnormal findings
- Z00.129 - Encounter for routine child health examination without abnormal findings
Frequency
- Once in a lifetime for G0438 (first AWV)
- Annually for G0439 (subsequent AWV)
Medicare Beneficiary Pays
- Co-payment/Coinsurance waived
- Deductible waived
