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AWV
(Annual Wellness Visits)

AWV are preventive health assessments for Medicare beneficiaries, focusing on creating personalized prevention plans, assessing health risks, and updating health screenings and vaccinations to manage overall health proactively.

Codes

Annual Wellness Visit Pathway

HCPCS G0438

Includes establishing a medical and family history, risk assessment, and creating a personalized prevention plan. Billed at $162.

HCPCS G0439

Focuses on updating the health risk assessment, reassessing personalized prevention plan. Billed at $128.

Advance Care Planning Pathway

CPT 99497

Involves discussions about the patient's goals for care and treatment preferences, including advance directives, with the patient, family, and surrogate. Billed at $79.

CPT 99498

Additional time for detailed care planning and discussion, usually following the initial session. Each 30-minute increment is billed at $68.

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