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
The Codepedia for Medical Coding