Guide on How to Bill G0438 and G0439 Have you been struggling billing Annual Wellness Visits? Having trouble finding the right information on all in one place? There is a lot of confusion out there on how to properly bill Annual Wellness Visits (AWV) G0438 and G0439. We get a lot of questions from other practices on how to bill the AWV and what is included. Some practices are performing a full routine physical exam, which is not an Annual Wellness Continue Reading
Mark asks if his doctor coded his full routine physical exam properly using CPT code 99397, which is not covered by Medicare, or if the doctor should have used the Annual Wellness Visit code, G0438 (or G0439), which is covered by Medicare. What’s the difference? Which code does Medicare pay?
Medicare provides coverage for Annual Wellness Visits. This benefit was included in the Affordable Care Act of 2010. Medicare has come up with two HCPCS codes for these well visits for medical billing purposes. The codes are G0438 and G0439.