Medicare Assigns G Codes for Medicare Wellness Visits

December 7, 2010

Medicare beneficiaries will be thrilled that Medicare will cover annual well checks.

The Center for Medicare introduces a new benefit of wellness visits for beneficiaries annually, except during the year of their Welcome to Medicare exam. You’ll use two HCPCS level II codes to represent the new annual wellness visits, as follows:

G0438 – Annual wellness visit; includes a personalized prevention plan of service (PPPS), first visit

G0439 – Annual wellness visit; includes a personalized prevention plan of service (PPPS); subsequent visit

Medicare crosswalked the RVUs of 2.43 from new patient office visit code 99204 to G0438, and the RVUs of 1.50 from established patient office visit code 99214 to G0439.

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