G0438 – Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

Long description

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

Short description

Ppps, initial visit

Pricing indicator

11 Priced using national RVUs (Physician Fee Schedule)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5D Specialist - other

Added

January 1, 2011

Last change

January 1, 2026 – No change

Nearby G codes

• G0429 – Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)
• G0431 – Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter
• G0432 – Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening
• G0433 – Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening
• G0434 – Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter
• G0435 – Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening
• G0436 – Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes
• G0437 – Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes
• G0439 – Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
• G0442 – Annual alcohol misuse screening, 5 to 15 minutes
• G0443 – Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
• G0444 – Annual depression screening, 5 to 15 minutes
• G0445 – High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
• G0446 – Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
• G0447 – Face-to-face behavioral counseling for obesity, 15 minutes
• G0448 – Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing