|There are two types of AWVs - the first annual wellness visit (G0438) and subsequent annual wellness visits (G0439). G0438 may not be billed if the patient received an IPPE.
The initial Annual Wellness Visit (G0438) includes:
routine measurements such as height, weight, blood pressure, body-mass index (or waist circumference, if appropriate); review of medical and family history; establishing a list of current providers, suppliers, and medications (including supplements); a personal risk assessment (including any mental health conditions); a review of functional ability and level of safety; detection of any cognitive impairment; screening for depression; establishing a schedule for Medicare’s screening and preventive services your client qualifies for over the next 5 to 10 years; and, any other advice or referral services that may help intervene and treat potential health risks. The subsequent Annual Wellness Visits (G0439) include:
measurement of weight, blood pressure, and other measurements deemed appropriate (note: height and body-mass index not necessary, unless your client has had significant weight change); an update to medical and family history; an update to the list of providers, suppliers, and medications (including supplements); a review of the initial personal risk assessment; detection of any cognitive impairment; an updated screening schedule; and, a review and update to list of referral services to help intervene and treat potential health risks.