Medicare WWE vs General Physical

Our office has come across the issue of how to code for certain Medicare physicals. Medicare only pays for the WWE every 2 years but if a patient comes in and signs an ABN stating they will pay for the exam when Medicare says no, how do we code that? Would we code a G0439 with a V70.0 and then a G0101 with a V72.31 (assuming they have not had a hysterectomy) or would we only code a G0439 with V72.31? We have heard so many variations that we are confused...can anyone help? Thank you!!!

re: Medicare WWE vs General Physical

Medicare pays for annual WWV. G0439- This code is to be used in the years subsequent to the submission of G0438 for the initial annual wellness visit.

re: Medicare WWE vs General Physical

Correct, however, what DX code would be appropriate if the patient is requesting the WWE and signed the ABN?