Get Verification Of Wellness Examination Formv4a Fund Mailing Info

Requirements and Components for Billing AWV The G0438 requirements include: A Health Risk Assessment (HRA) Medical and family history. List of current providers involved in the patient's health.

Three Unique Annual Wellness Visit Codes: G0402, G0438, and G0439. Medicare preventive wellness visits fall into three categories; the "Welcome to Medicare" visit, also known as the Initial Preventive Physical Exam (IPPE); the initial annual wellness visit, and the subsequent annual wellness visits.

Aside from the Health Risk Assessment, your provider will likely ask about your medical and family history, update your current prescriptions, take measurements (height, weight, blood pressure, etc.) and more.

Q - Do Medicare wellness visits need to be performed 365 days apart? A - No. A Medicare wellness visit may be performed in the same calendar month (but different year) as the previous Medicare wellness visit.

You can only bill G0438 or G0439 once in a 12-month period. G0438 is for the first AWV and G0439 is for subsequent AWVs.

Medicare will pay a physician for an AWV service and a medically necessary service, e.g. a mid-level established office visit, Current Procedural Terminology (CPT) code 99213, furnished during a single beneficiary encounter.