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Old 03-08-2012, 02:28 PM
kathleenl kathleenl is offline
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Default G0438(9)

Hi,
I am a little confused about how and when to use this Annual Wellness visit. I work primarily with GYN's and normally we bill out the G0101 & Q0091 for a Medicare patient. Can I also add G0438? I have been reading a lot of articles and just can't get it straight!

Any help is appreciated.

Thanks
-Kathleen
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Old 03-08-2012, 03:03 PM
tlwhlw tlwhlw is offline
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I work in a IM/Geriatric office....we use these codes almost daily. I'm not sure how to use in an OB/GYN setting....According to the information that needs to be documented, it seems not appropriate for that type of facility, unless you are doing Primary Care for a Medicare patient also. The G0438/9 codes are not necessarily a physical examination, but verbal discussion about history, risk factors for depressions/mood disorders, functionality, safety, cognitive impairment, basic exam, counseling, screening schedule.

DMS has a really nice "cheat sheet" for this on their website; search for Quick Reference Information, the ABC's of Providing the Annual Wellness Visit. Medicare also has some good webinar info for this also. Hope this helps!
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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