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?
Initial Preventative Physical Exam (IPPE) G0402 is Known as the “Welcome to Medicare Visit” to Most Medical Billers What is a Welcome to Medicare visit, and how do you bill for it? Let’s see if I can help to explain and to point you in the right direction for information. A patient who has just qualified for Medicare Part B is allowed this once-in-a-lifetime benefit within the first 12 months of Medicare eligibility. Medicare calls this exam the Initial Continue Reading