Starting January 2011, Medicare will add coverage for annual well visits (AWV), not just the Welcome to Medicare visit.
There are two new HCPCS Level II codes: G0438 and G0439. G0438 is an initial visit for annual wellness. G0439 is a subsequent annual wellness visit. Both include a personalized prevention plan of service.
According to CMS, these codes can be billed as incident-to and will be paid using the same relative value units (RVUs) as 99204 (office/outpatient visit, new, $155.23) for the initial AWV and 99214 (office/outpatient visit, est., $99.93) for subsequent AWVs.
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