Results 1 to 3 of 3

AWV and Annual Physical

  1. #1
    Default AWV and Annual Physical
    Medical Coding Books
    Good Morning Does anyone know whether or not the patient can have their annual physical and the AWV in the same month? Thanks for your help.

  2. #2
    No, when patients become eligible for Medicare, they may receive the IPPE (Initial Preventive Physical Exam G0402-05) within 12 months of their eligibility date. Twelve months later, they are eligible for the Annual Wellness Visit, Initial (G0438). Another twelve months later (and for subsequent years), they are eligible for the Annual Wellness Visit, Subsequent (G0439).

  3. #3
    Dover Seacoast New Hampshire
    If you're talking about a non-covered annual physical, then yes. If you're talking about the IPPE and AWV the same month, then no.

    Medicare won't reimburse for the 9938x-9939x codes for routine preventive visits, so there are no CMS limitations as to when they are scheduled. Make sure the patient is aware that they will be responsible for the non-covered routine physical, and that they're not confused about the 'free' annual wellness visit. This has caused some major headaches for us.

    So you can do a 99397 and AWV the same month.
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

Similar Threads

  1. Physical, Medicare AWV, and office visit
    By Radcoder86 in forum E/M
    Replies: 10
    Last Post: 08-19-2015, 03:09 PM
  2. Replies: 1
    Last Post: 07-20-2011, 06:52 AM
  3. help in annual physical coding
    By in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-10-2011, 12:20 PM
  4. annual physical/school physical
    By kimb in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 10-22-2008, 02:09 PM
  5. annual physical
    By kimb in forum Medical Coding General Discussion
    Replies: 8
    Last Post: 08-04-2008, 06:15 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.