Advanced Search

HCPCS Code for Federally qualified health center (FQHC) visit, ippe or awv; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV G0468

HCPCS code G0468 for Federally qualified health center (FQHC) visit, ippe or awv; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV as maintained by CMS falls under Federally Qualified Health Center (FQHC) Visits.

Subscribe to Codify by AAPC and get the code details in a flash.

Request a Demo 14 Day Free Trial Buy Now

Official Long Descriptor

Federally qualified health center (FQHC) visit, ippe or awv; a FQHC visit that includes an initial preventive physical examination (IPPE) or annual wellness visit (AWV) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an IPPE or AWV

Crosswalks

Tabs
Match supply and drug codes in a snap. View corresponding CPT® codes and their definitions.

Compliance Tools

Tabs
Subscribers see the ICD-10-CM codes a contractor allows and full LCD policy text on the same website.
Protect Part B Payments by complying with Correct Coding Initiative (CCI) edits. Subscribers see the full list of column 2 codes for the searched HCPCS code.

Forum

Have a question about HCPCS Code G0468 ? Start a discussion here
FQHC Medicare Preventive
[QUOTE="cjtown, post: 495467, member: 1874"] You will bill both codes on the claim. G0468 – FQHC visit, IPPE or AWV: HCPCS Qualifying Visits for G0468 G0402 Initial preventive exam G0438 Ppps, init... [ Read More ]
FQHC Medicare Preventive
You will bill both codes on the claim. G0468 – FQHC visit, IPPE or AWV: HCPCS Qualifying Visits for G0468 G0402 Initial preventive exam G0438 Ppps, initial visit G0439 Ppps, subseq visit [URL unfu... [ Read More ]
FQHC Medicare Preventive
hello all i have a question, i do work in FQHC and have a question on medicare annual wellness c=visit code. as being FQHC do we bill G0468 as innitial or subsequence visit for AWV or do we use G0438 ... [ Read More ]
FQHC Telephonic Billing
I am trying to bill out telephonic claims. I was told to use G2012. I have billed that and got rejected for needing HCPS code G0466-G0468. I added the G0467 and the G2012 code with MOD 95/GT on line G... [ Read More ]
93000 Requires modifier for 2020?
G0439 ID MEDICARE AWV G CODE. IT SHOULD BE G0439 - G0468. O/V 99214-G0467. MEDICARE DOESNT PAY FOR 93000. HOPE THIS HELP.... [ Read More ]
Modifier Question
For Medicare AWV + O/V G0468+G0438 New P/E G0468+G0439 Est. P/E 99213+G0468 Est. O/V 99203+G0466 New O/V G0008 for Flu shot G0009 Pneumococcal... [ Read More ]
G0403(Medicare EKG)
Yes, you will need a modifier when reporting codes G0402 & G0403 together. While there is no CCI edit in place for the code pair, Medicare Claims Processing Manual instructions state that modifier 25... [ Read More ]
FQHC and G codes
[b]You need both codes[/b] You need to have two codes on the claim. The qualifiying visit and the g code. Medicare requires both but only pays on one. You should have G0438 and G0468. Both codes sh... [ Read More ]
FQHC and G codes
Hello, I have billed G0468 and Medicare is denying our claims because a qualifying visit is not listed on the claim. The qualifying code choices are G0402, G0438 or G0439. Does Medicare pay for both a... [ Read More ]
Medicare Annual Wellness Visit and additional Well Woman Exam awv fqhc medicare well woman
Hello, fellow coders: One of my providers performed an AWV and a separate well woman exam on two different dates of service. Since both were preventive, triggering use of G0468 (we're an FQHC), Medi... [ Read More ]
View All

Coding Alert(s)

    Read a HCPCS Coding Clinic® article by subscribing today.

    Latest News

    Whats Included in an AWV?
    Set the record straight with patients to prevent surprise billing. If you work in a medical billing office you know how frustrating it can be to get a phone call from a patient asking why they are get... [ Read More ]
    Do You Know What an Annual Wellness Visit Is?
    Annual Wellness Visits AWV are covered by Medicare annually but they are often confused with other types of examinations so the Centers for Medicare 38 Medicaid Services CMS has published an MLN bookl... [ Read More ]
    Step Outside Your Coding Bubble into FQHC Services
    Compare coding and billing for FQHCs to that of provider and facilitybased organizations. Federally qualified health centers FQHCs account for less than 10 percent of designated organizations but as c... [ Read More ]
    Learn How to Avoid FQHC Billing Roadblocks
    Overcome billing challenges with processes that pave the way to a healthy revenue cycle. Federally qualified healthcare centers FQHCs are taking on a more prominent role in our healthcare system provi... [ Read More ]
    Five G Codes Effective Oct. 1
    The Centers for Medicare 38 Medicaid Services CMS released six new HCPCS Level II G codes five of which became effective Oct. 1. The codes helps track federal quality health center FQHC visits. FQHCs ... [ Read More ]
    View All News