All programs
AWV
Annual Wellness Visits
The Annual Wellness Visit builds a personalized prevention plan from a health-risk assessment — the natural on-ramp for enrolling patients into the ongoing programs they qualify for.
What it means for patients
The anchor visit that surfaces every care opportunity.
The yearly visit that sets the whole care plan in motion.
Eligibility
Medicare patients (after 12 months of Part B)
Billing model
Per-visit HCPCS
Time required
One structured annual visit
Medicare reimbursement
$118 – $175 / visit
Billing codes
G0438G0439
Stay audit-ready
Documentation requirements
Each concurrently billed program requires independent, separately documented evidence.
Health risk assessment (HRA) completed
Personalized prevention plan on file
Screening schedule & referrals documented
Cognitive & functional assessment
Once per 12-month period
Compatible combinations
Valid stacking
AWV + ACPAWV + APCM
Never bill together
No hard exclusions — bundles per CMS rules, which our team confirms for you.