If you're talking about AWV:
G0439
"Use this code when the provider performs a patient’s subsequent annual wellness visit as a part of the annual wellness program. At this visit, the provider takes the patient’s medical history, assesses risk factors, and provides a personalized prevention plan of service.
This code represents the service wherein a provider receives and follows up with the patient on his subsequent visit as a part of the annual wellness program. The service includes updating patient's medical and family history, current healthcare providers and suppliers involved, physical examinations of height, weight, blood pressure etcetera. The provider updates written screening schedules, risk factors, and diseases that he identified in the initial visit. He also updates health advice and other programs including smoking cessation, physical activity and nutrition, to reduce identified risk factors. The provider works on detailed medical documentation that should be there including patient's medication, treatment history, chronic diseases, urgent health needs and injuries. Policy coverage is provided to the beneficiary for the service once in a year according to the referral of initial preventive physical examination. This code is used for the subsequent visits.
Definitions
Blood pressure: The force that the blood exerts on the walls of all the blood vessels that supply blood to all the organs and parts of the body.
Cognitive: Brain's intellectual activity such as thinking, remembering, reasoning, etc.
Functional ability: Measurement of an individual's ability to execute routine tasks such as standing smoothly and independently.
Risk factor: A physical trait or a habit that makes one more susceptible over others for a particular disease.
Smoking cessation: Quitting the highly addictive habit of smoking tobacco."
None of the "problems" listed would fall anywhere near any of these options. The only things the provider could really do with that information is add to the pt's chart and give
general health advice (and referrals, if necessary), with the primary purpose of ensuring the patient's health remains in good standing by encouraging screening exams. He/she could not address the problems directly, discuss them specifically, treat them, examine them, etc. If there's vaginal symptoms, menopause issues, etc, then the provider would either have to encourage/refer the patient to have them examined at another time or by another provider OR examine and address those problems, inevitably creating an office visit charge as well (which would need a modifier).
https://www.cms.gov/Outreach-and-Ed...LN/MLNProducts/downloads/MPS_QRI_IPPE001a.pdf