Wiki When to code G0438

[Faith@032413]

Hi All,

Good Afternoon,

I have a doubt in G0438, when to code G0438 whether it is age base criteria example(only applicable for 99387) or for all cpt's (998381 - 99387). Any one please clarify doubt.

 

[thomas7331]

G0438 is for Medicare beneficiaries and is not age-based, but it is a different service entirely from the preventive physicals coded with 99381-99387. G0438 does not include an exam, for example, and also has a number of other documentation requirements that are not necessarily part of a preventive physical. You can find a complete list of what is included in the wellness visits coded with G0438 & G0439 here: https://www.cms.gov/Outreach-and-Ed...k-MLN/MLNMattersArticles/downloads/MM7079.pdf