CPT G0439

Subsequent Annual Wellness Visit

Subsequent Medicare Annual Wellness Visit including updated health risk assessment and personalized prevention plan.

30-40 minutes
1.50 work RVU
5 requirements

Documentation Requirements

  1. 1Updated Health Risk Assessment (HRA)
  2. 2Updated list of current providers and medications
  3. 3Updated cognitive impairment screening
  4. 4Review and update of Personalized Prevention Plan (PPPS)
  5. 5Depression and fall risk screening

Billing Tips

  • •Medicare-specific code for follow-up AWV (not first-time)
  • •Patient must be 12+ months since last AWV
  • •Can bill with E&M using modifier 25 for separate problems
  • •No deductible or copay for the AWV portion
  • •Document all updated elements from prior AWV

Frequently Asked Questions

What is the difference between G0438 and G0439?

G0438 is the initial AWV (first time), while G0439 is for all subsequent annual visits. Both require a Health Risk Assessment and PPPS, but G0439 focuses on updates. Scribeable templates guide both visit types.

Can Scribeable help document AWV elements?

Yes, Scribeable provides structured AWV templates that ensure all required Medicare elements — HRA, cognitive screening, depression screening, fall risk, and PPPS — are captured and documented.

Automate Subsequent AWV Documentation

Scribeable captures all required elements for CPT G0439 from your patient conversation. Generate compliant notes in seconds.

Common Diagnoses

Z00.00Z13.89

Related Specialties

primary careinternal medicinegeriatrics

Related Procedures

CPT 993951.50 work RVU

Annual Physical 18-39

Comprehensive preventive medicine evaluation for adults 18-39.

CPT 993961.75 work RVU

Annual Physical 40-64

Comprehensive preventive medicine evaluation for adults 40-64.

CPT G04382.43 work RVU

Initial AWV

Initial Medicare Annual Wellness Visit with personalized prevention plan.

CPT 992131.30 work RVU

Office Visit Level 3

Established patient office visit with low level of medical decision making.

CPT G0439: Subsequent Annual Wellness Visit

Subsequent Medicare Annual Wellness Visit including updated health risk assessment and personalized prevention plan.

Documentation Requirements

  1. Updated Health Risk Assessment (HRA)
  2. Updated list of current providers and medications
  3. Updated cognitive impairment screening
  4. Review and update of Personalized Prevention Plan (PPPS)
  5. Depression and fall risk screening

Billing Tips

  • Medicare-specific code for follow-up AWV (not first-time)
  • Patient must be 12+ months since last AWV
  • Can bill with E&M using modifier 25 for separate problems
  • No deductible or copay for the AWV portion
  • Document all updated elements from prior AWV

Frequently Asked Questions

What is the difference between G0438 and G0439?

G0438 is the initial AWV (first time), while G0439 is for all subsequent annual visits. Both require a Health Risk Assessment and PPPS, but G0439 focuses on updates. Scribeable templates guide both visit types.

Can Scribeable help document AWV elements?

Yes, Scribeable provides structured AWV templates that ensure all required Medicare elements — HRA, cognitive screening, depression screening, fall risk, and PPPS — are captured and documented.

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