Medicare HMO annual visit CPT code G0402, G0438 and G0439 coverage

Medicare HMO annual visit CPT code G0402, G0438 and G0439

Medicare Advantage Program Coding for Welcome to Medicare and Annual Wellness Visits
Vital REMINDER: Florida Blue, as a Medicare Advantage arrangement with four contracts with the Centers for Medicare and Medicaid Services (CMS), advises you that Medicare Advantage Members are qualified for one Welcome to Medicare visit and also an Annual Wellness visit. At the point when documenting these Medicare Advantage visit claims, it is essential for you to utilize the right system codes r to keep away from case dissents.

• Cpt Code G0402 - Initial Preventive Physical Examination (IPPE) or Welcome to Medicare Visit

• Cpt Code G0438 - Annual Wellness Visit (AWV); incorporates a customized avoidance arrangement (PPPS)

• Cpt Code G0439 - Subsequent Annual Wellness Visit (AWV); incorporates a customized avoidance arrangement (PPPS)

Additionally, please allude to the notice of February 2015, Update: Medicare Advantage Program Coding for Annual Wellness Visits .

NOTE: Our arrangements don't cover routine physical examinations normally charged utilizing the Preventive Medicine Services system codes 99381 – 99397. Powerful for administrations performed on and after January 1, 2016, all visits charged with these method codes for Medicare Advantage individuals will be denied.

Keep in mind to check part qualification and advantages electronically through Availity

Stay avant-garde with the most recent Medicare preventive administrations news for Medicare recipients by signing into the CMS site at http://www.cms.gov/and selecting the Outreach and Educat