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Medicare covers an Annual Wellness Visit (AWV) providing Personalized Prevention Plan Services (PPPS). The AWV includes a Health Risk Assessment ( HRA) .

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Q - Is the IPPE the same as the initial AWV? A - No, the IPPE is the Initial Preventive Physical Examination, also known as the "Welcome to Medicare" visit (G0402), while the initial AWV (G0438) is the patient's first Medicare AWV following the IPPE.

The four HCPCS codes used to report IPPE services and ECG screenings are: G0402 – IPPE is a face to face visit. Service is limited to a new beneficiary during the first 12 months of Medicare enrollment.

G0438 is for the first AWV and G0439 is for subsequent AWVs. Remember, you must not bill G0438 or G0439 within 12 months of a previous G0402 (IPPE) billing for the same patient.

G0438 is the HCPCS code you should use when coding a patient's 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."

Claims for HCPCS code G0438- Annual Wellness Visit (AWV); Includes a personalized prevention plan (PPPS); initial, may not be billed more than once in a lifetime.

Annual Wellness Visit (AWV) Visit to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment (HRA).

BILLING AND CODING No specific diagnosis is required for the Annual Wellness Visit, but Z00. 00 or Z00. 01 is appropriate for the Annual Routine Physical Exam.

Description of HCPCS code G0402, G0438 & G0439 This exam is billed using HCPCS code G0402. An Annual Wellness Visit code of G0438 should not be used and will be denied because the patient is eligible for the Welcome to Medicare visit during the first year of enrollment.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232