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Annual Wellness Visit

Annual Wellness Visits (AWV): CPT Codes, Billing, and Reimbursements

April 6th, 2022 | 2 min. read

Loran Sekely

Loran Sekely

Account Manager

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In this video, we explain the 2022 CPT codes, billing requirements, and reimbursements for Annual Wellness Visits (AWV), so you can properly bill for this program and maximize your revenue.

Annual Wellness Visits are an effective way to embrace value-based care, so it’s important to understand the program's rules and regulations, as well as the different types of AWV your practice can offer. We’ll cover the differences between Initial Preventive Physical Examinations (IPPE), Initial Annual Wellness Visits (IAWV), Subsequent Annual Wellness Visits (SAWV), and Advanced Care Planning (ACP).

After watching, you’ll have a better understanding of the elements of an AWV including health risk assessments (HRA). You'll also know how to bill for each type of visit if you’re a physician practice, rural health clinic (RHC), or federally qualified health center (FQHC).

We’ll cover the CPT codes for physician practices and RHCs with codes G0402, G0438, and G0439 and the CPT code G0468 for FQHCs. We’ll also discuss CPT code 99497 for Advanced Care Planning and when this can be added to a wellness visit.

Finally, you’ll learn how an AWV can identify preventive health services for patients and promote enrollment in additional care management programs, such as Chronic Care Management (CCM), Behavioral Health Integration (BHI), and Remote Patient Monitoring (RPM).

Want more information on AWV programs? 

Read about the 2022 CPT codes for AWV, learn more about the 3 types of Annual Wellness Visits, or dive deeper into health risk assessments.



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