Annual Wellness Exams

codeforfun

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Can anyone explain to me how the G0438 & G0439 codes work? Most all of our patients are on Medicare and have been for years. If the Dr. performs an annual wellness exam on one of our patients for the first time, is that a G0438 or G0439 and then every year after that when he provides the exam which code do we use?

Thanks for any help!

P
 

Pam Brooks

True Blue
Local Chapter Officer
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There have been many,many posts on this topic on this board. Use the search engine on the toolbar on this page, and dozens of posts will popup. Many of them contain links to the information on CMS's website, which is where you'll get all of the information and documentation guidelines for billing these services. www.cms.gov/MLNProducts/downloads/Annual_Wellness_Visit.pdf
 

LindaEV

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G0438 is for the first visit, even if the patient is established with your doctor. Every year after that he will use the G0439. Please feel free to contact me directly if you have further questions, I would be happy to help you :)
 
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