|
 Initial Preventive Physical Examination
Attached you will find a reference document that explains the components included in the IPPE. All components of the IPPE must be provided, or provided and referred, prior to submitting a claim for the IPPE.
Please review The ABC's of Providing the Initial Preventive Physical Examination document for additional information about the IPPE guidelines.
Annual Wellness Visit
For dates of service on or after 01/01/11, the Affordable Care Act allows for coverage of the Annual Wellness Visit (AWV), providing Personalized Prevention Plan Services (PPPS). The attached document is divided into two sections explaining the elements included in the first AWV and the elements included in all subsequent AWV's.
Please review The ABC's of Providing the Annual Wellness Visit document for additional information about the AWV guidelines. |
|
New Codes for IPPE |
The following codes are for beneficiaries during the first 12 months of enrolling in Medicare.
G0402 - Initial preventive physical examination: face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment.
G0403 - Electrocardiogram, routine ECG with 12 leads, performed as a screening for the initial preventive physical examination with interpretation and report.
G0404 - Electrocardiogram, routine ECG with 12 leads, tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination.
G0405 - Electrocardiogram, routine ECG with 12 leads, interpretation and report only, performed as a screening for the initial preventive physical examination.
|
|
New Codes for AWV |
|
The following codes are for beneficiaries
Annual Wellness Visit and Annual Subsequent Visit
G0438 - Annual wellness visit, includes Personalized Prevention Plan of Service(PPPS), first visit
G0439 - Annual wellness visit, includes PPPS, Subsequent visits (following years)
|
