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CPT G0438

2026 Billing Guide

Initial Wellness Visit

Reimbursement

$160.32

Threshold

N/A

2026 Status

Active

What is CPT Code G0438?

CPT G0438 is defined as: Initial Annual Wellness Visit; includes a personalized prevention plan of service (PPPS), first visit. This visit is for beneficiaries who have been enrolled in Medicare Part B for at least 12 months and have not previously received an AWV.

This code is primarily used for Preventive services. It falls under the category of Preventive Services and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

2.6

Physician Effort

PE (Non-Fac)

2.1

Practice Expense

Malpractice

0.1

Risk Factor

Total RVU

4.8

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

cost sharing waiver

No deductible or coinsurance for the patient, ensuring zero-cost access to preventive planning.

acp integration

Advance Care Planning (99497) is also waived from cost-sharing when performed with G0438.

relationship to ippe

If the 'Welcome to Medicare' (G0402) window is missed (first 12 months), G0438 becomes the entry point for Medicare wellness.

Administrative Framework

Place of Service

11 (Office)02 (Telehealth Other)10 (Telehealth Home)

NCCI Exclusions

Do not bill with:G0439 (Subsequent AWV)G0402 (Welcome to Medicare)

Key Modifiers

25Used on concurrent E/M code if a separate medical problem is addressed during the wellness visit.
26Professional Component (not typically used for AWV).

Operational Requirements

minimum time

Procedure-based (Cognitive assessment)

staff type

MD, DO, NP, PA, or medical professional under direct supervision.

frequency

Once per lifetime.

add on codes

99497 (Advance Care Planning), 99212-99215 (with Modifier 25)

components

HRA, family history, list of current providers, screening schedule, cognitive impairment screening, depression screening.

Compliance Checklist

Health Risk Assessment (HRA) questionnaire.
A written 5-10 year screening schedule.
Cognitive and Depression screenings.
Review of functional ability and level of safety.

Audit Defense

No specific audit defense elements defined.

Common Clinical Scenarios

New Medicare beneficiary (enrolled for 14 months) presents for their first comprehensive prevention planning session.

CMS Eligibility: N/A (Preventive service).. Benefit available after 12 months of Part B enrollment.

Target Specialties & Utilization

Primary CareInternal MedicineFamily Medicine

Typical Clinical Indications (ICD-10)

Z00.00 (Encounter for general adult medical examination without abnormal findings)

Billing Differentiation

VS G0439

G0438 is Initial; G0439 is for all Subsequent annual years.

VS G0402

G0402 is only for the first 12 months of Medicare; G0438 starts after 12 months.

Frequently Asked Questions

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