Medicare Claims Processing Manual Updates - HCPCS Billing Codes & ABN of Non-coverage Requirements

Related CR Release Date: March 14, 2024
Effective Date: May 15, 2024
Implementation Date: May 15, 2024
MLN Matters Number: MM13548
Related Change Request (CR) Number: CR 13548
Related CR Transmittal Number: R12546CP

CR 13548 tells you about:

  • Using HCPCS codes G0402, G0438, and G0439 for billing initial preventive physical examination (IPPE) and annual wellness visit (AWV) services
  • Not billing CPT codes 99381-99397 (comprehensive preventive medicine evaluation and management services) for IPPE and AWV services
  • Giving your patients an Advance Beneficiary Notice of Non-coverage (ABN) for certain preventive services

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13548.

Last Updated Mar 21 , 2024