Annual Wellness Visit (AWV) - JF Part A
Annual Wellness Visit (AWV)
HCPCS/CPT Codes
- G0438 - Initial visit
- G0439 - Subsequent visit
Frequency
- G0438 - Once in a lifetime
- G0439 - Annually
Coverage
- Beneficiary not within 12 months after effective date of their first Medicare Part B coverage period
- Has not received Initial Preventive Physical Examination (IPPE) or AWV within past 12 months
- Performed by health professional:
- Physician
- Physician assistant
- Nurse practitioner
- Clinical nurse specialist
- Medical professional (including health educator, registered dietitian, nutrition professional or other licensed practitioner) or team of such medical professionals, working under direct supervision of physician
No specific diagnosis code required; bill using the most appropriate diagnosis
Payment
Copayment/coinsurance waived; Deductible waived
Noridian Medicare Portal
Yes - G0438 and G0439
Resources
Last Updated Mar 19 , 2024