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

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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).

Video Chapters:
► 00:00 What will I learn in this video?
► 01:02 How does AWV work?
► 01:43 Health Risk Assessment (HRA)
► 02:55 Annual Wellness Visit Types
► 03:33 CPT Codes for Annual Wellness Visits
► 04:10 Initial Preventive Physical Examination (IPPE) CPT Code G0402
► 05:15 Initial Annual Wellness Visit (IAWV) CPT Code G0438
► 06:42 Subsequent Annual Wellness Visit (SAWV) CPT Code G0439
► 07:43 Advanced Care Planning (ACP) CPT Code 99497
► 09:00 FQHC AWV CPT Code G0468
► 09:54 Recommendations for AWV
► 11:09 AWV CPT Codes Next Steps

Check out these helpful links to learn more about Annual Wellness Visits:

What Are the 2022 CPT Codes for Annual Wellness Visits? Blog Article:

3 Types of Medicare Annual Wellness Visits: (IPPE, IAWV and SAWV) Blog Article:

5 Ways Providers Can Maximize the Value of Health Risk Assessments Blog Article:

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If you’re ready to learn more about how care coordination software can help you manage value-based programs like AWV, contact ThoroughCare:

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Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information.

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