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December 2022
Get ready for Welcome to Medicare, annual wellness visits for Medicare Plus Blue patientsThe new year will bring new and existing Medicare Plus Blue℠ members to your medical practice for their annual wellness visits — which are at no cost to them. These visits play an important role in helping your patients maintain or improve their health. New Medicare Plus Blue members should be scheduling their Welcome to Medicare preventive visit, also known as the initial preventive examination. This is a one-time appointment for new Medicare patients to be scheduled within their first 12 months of enrollment. Medicare pays for one Welcome to Medicare visit per member, per lifetime. This visit is a great way to get up-to-date information on health screenings, shot records, family medical history and other preventive care services. For more information on the components of a Welcome to Medicare visit, see the Medicare Learning Network Educational Tool.** The billing code for a Welcome to Medicare visit, also called initial preventive physical examination, is G0402. Annual wellness visit Existing Medicare Plus Blue members should be scheduling their annual wellness visits. Medicare will cover an annual wellness visit every 12 months for patients who’ve been enrolled in Medicare for longer than one year. The annual wellness visit is a chance for you to develop or update your patient’s personalized prevention plan based on his or her current health situation and risk factors. A health risk assessment is part of the annual wellness visit. It includes self-reported information from your patient to be completed before or during the visit. For more information on the components of an annual wellness visit, see the Medicare Learning Network Educational Tool.** Billing codes for annual wellness visits Here are the billing codes for annual wellness visits, which include a personalized prevention plan of service:
Note: G0438 or G0439 must not be billed within 12 months of the previous billing of a G0402. You can also offer to conduct telehealth visits depending on your office’s capabilities. **Blue Cross Blue Shield of Michigan doesn’t own or control this website. |
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