Sunday, March 26, 2017

How to code Annual wellness visit for Medicare and commercial insurance

For Medicare, annual wellness visits will be paid with following codes

G0402:  Initial Preventive Physical Examination; face-to-face visit, services limited to a new patient during the first 12 months of Medicare enrollment. (welcome to Medicare; one time benefit)

G0438: Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

G0439: Annual wellness visit; includes a personalized prevention plan of service (pps), subsequent visit


For Commercial insurance, use 99381---99397

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