Medical Coding Rights

Welcome to Medicare Preventive Visit HCPCS/CPT Codes G0402 –  Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment G0403 – Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0404 – Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination G0405 –  Electrocardiogram, routine ECG with 12 leads; interpretation and report only , performed as a screening for the initial preventive physical examination Who Is Covered All new Medicare beneficiaries who are within the first 12 months of their first Medicare Part B coverage period Frequency Once in a lifetime Must furnish no later than 12 months after the effective date of the first Medicare Part B coverage period Covered ICD-10 Codes for CPT G

 HCPCS/CPT Codes G0438 – Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit G0439 – Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit Who Is Covered All Medicare beneficiaries who are both, Not within 12 months after the effective date of their first Medicare Part B coverage period Have not received an Initial Preventive Physical Examination (IPPE) or AWV within the past 12 months Frequently Used ICD Z00.00 - Encounter for general adult medical examination without abnormal findings Z00.01 - Encounter for general adult medical examination with abnormal findings Z00.121 - Encounter for routine child health examination with abnormal findings Z00.129 - Encounter for routine child health examination without abnormal findings Frequency Once in a lifetime for G0438 (first AWV) Annually for G0439 (subsequent AWV) Medicare Beneficiary Pays Copayment/coinsurance waived Deductible waived