Part of Annual Wellness Visit
HCPCS G0439: Subsequent Annual Wellness Visit
A follow-up Annual Wellness Visit, updating the patient's Health Risk Assessment and prevention plan.
Time threshold & code combinations
Once every 12 months, following the initial AWV (G0438) or a prior subsequent AWV.
- Mutually exclusive with G0438 for the same visit
- Can be billed the same day as 99497/99498 (Advance Care Planning) if furnished
Who can bill
- Physicians
- Non-physician practitioners (nurse practitioners, physician assistants, and similar)
- A medical professional working under the direct supervision of a physician
Eligibility & billing requirements
- Patient has previously had an initial AWV (G0438)
- At least 12 months have passed since the patient's last AWV
- Updated Health Risk Assessment
- Update to medical/family/social history and current medication review
- Routine measurements and cognitive impairment screening
- Updated written prevention plan provided to the patient
When to use it
Annual follow-up wellness visit
A patient returns 12 months after their initial AWV to update their health risk assessment and review their prevention plan, with a new depression screening result noted.
Billing: G0439
Documentation checklist
- Updated Health Risk Assessment
- Updated history/medication review
- Cognitive screening results
- Updated written prevention plan
Common billing mistakes
- Billing G0439 less than 12 months after the prior AWV
- Skipping the Health Risk Assessment update because 'nothing has changed'