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Home/Diagnosis/ICD-10 Coding for Annual Wellness Exam

ICD-10 Coding for Annual Wellness Exam

G0438
G0439

Complete ICD-10-CM coding and documentation guide for icd-10 coding for annual wellness exam includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Medicare Annual Wellness Visit
AWV
Wellness Visit
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Key Information: ICD-10 Coding for Annual Wellness Exam

Essential facts and insights about ICD-10 Coding for Annual Wellness Exam

Use ICD-10 code G0438 for initial annual wellness visit, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Initial Annual Wellness Visit

Non-Billable
G0438
Non-Billable

Diagnostic Criteria

clinical:
  • • Patient is eligible for their first AWV after 12 months of Medicare enrollment.

Applicable To

  • • Initial preventive physical examination

Important Notes

  • • Ensure all required elements of the AWV are documented.

Subsequent Annual Wellness Visit

Billable Code
G0439
Billable

Applicable To

  • • Follow-up preventive physical examination

Important Notes

  • • Ensure documentation reflects updates to the prevention plan.
Ancillary Codes

Additional codes that may be used with this diagnosis

1124F

Depression screening

Use when performing a depression screening during the AWV.

3008F

Fall risk assessment

Use when assessing fall risk during the AWV.

Frequently Asked Questions

What is the ICD-10 code for an annual wellness exam?

The ICD-10 codes for an annual wellness exam include G0438 for the initial visit and G0439 for subsequent visits.

How often can a Medicare annual wellness visit be billed?

Medicare annual wellness visits can be billed once every 12 months, with subsequent visits billed at least 11 months apart.

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