RE: medicare IPPE and AWV coding

[Guest guest]

Helen:

The G0402 is the IPPE. Think only in 1st 12 months of medicare and follow the CMS template for the IPPE.

Ther G0438 is the AWV. The first AWV can be given after 12 months coverage of medicarewith or without IPPE given in the first year.

Straz found the AWV template. There is a preventive services template and an IPPE template as well.

Hope that helps.

PS I am sure will post the like for the other two templates. I have paper copies to hand my patients, but don't have the actual link anymore.

Subject: RE: medicare IPPE codingTo: "IMP Group" <practiceimprovement1 >Date: Friday, January 20, 2012, 3:53 PM

When should we use G0438 and when to use G0402?Helen

To: practiceimprovement1 From: lynnhri@...Date: Thu, 17 Nov 2011 08:12:27 -0500Subject: RE: medicare IPPE

welcome to medicare physical exam G0402and cardiogram with interpretation G0403period now increased to first 12 months after enrolling in medicare part B used to be 6 monthsI think I get paid about $150 for the G0402I think I am about average for medicare reimbursementsso do one and set the fee at $170when it comes back if they pay the whole thing then set it $10 higher than what they pay.fun, ent it?heres the link:https://www.cms.gov/MLNMattersArticles/downloads/MM6223.pdfLynn Ho