G0439 - Annual wellness visit (follow-up appointment) with personalized prevention plan
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This code represents a follow-up annual wellness visit that includes creating or updating a personalized prevention plan of service (PPS). This is a subsequent visit, meaning it's not your first annual wellness visit. During this appointment, your healthcare provider will review your health status, update your prevention plan based on your current needs, and discuss preventive care services that may be appropriate for you. The personalized prevention plan is tailored to your individual health risks and helps guide your preventive care for the coming year.
Additional Information
This is typically covered by Medicare and many insurance plans as a preventive service with no copay when performed by an in-network provider. The visit focuses on prevention rather than treatment of existing conditions.
Category
Preventive Care
Medical Specialty
Primary Care
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Must have had a previous annual wellness visit
- Medicare or insurance coverage for preventive services
What to Expect After
- Implementation of personalized prevention plan recommendations
- Scheduled preventive screenings as recommended
- Next annual wellness visit in 12 months
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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