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 and Newborns Codes cause some Confusion for Medical Practices I received the following questions from Jean so I thought I would answer them here on the medical billing and coding blog in case anyone else could use the information. Q: What is the CPT code for an annual exam for Medicare ….and what are the CPT codes for newborns for the first day, second day and discharge day … ? A: The CPT code for the annual routine physical Continue Reading
Medicare Billing for Well Woman Exam Using Codes G0101 and Q0091 and Annual Wellness Visits AWV G0438 and G0439 As we are all aware, Medicare now allows for the Annual Wellness Visit (AWV) G0438 or subsequent AWV G0439, but how does this relate to an annual Well Woman Exam? IT DOESN’T. An annual Well Woman Exam is a completely separate evaluation and management service from an AWV, and unless the provider specifically evaluates a patient for both the AWV and Continue Reading
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.