Please note that current editing prevents the billing of G0438 and G0439 if they are the only services on the claim. Claims containing the Annual Wellness Visit (AWV) along with other services are processing but the AWV service is not being paid.
CMS has instructed Medicare contractors to hold all claims containing AWV codes G0438 and G0439 submitted on TOBs 12X and 13X with dates of service on and after Sat Jan 1 through Sun Apr 3, 2011. The Medicare contractors’ systems will be ready to process claims containing codes G0438 and G0439 submitted on TOBs 12X and 13X no later than Mon Apr 4.
For additional information, please see Transmittal 2159, Change Request 7079, issued on Fri Dec 3, 2010.
Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting services.
To learn more about Atlantic Financial Consulting you may visit their website at http://atlanticfinancial.us or contact Dallas L Alford IV, CPA directly at 1 888-428-2555, Ext. 200.
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