G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Short descriptor: Ppps, initial visit
Look up G0438 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
G0438 is the HCPCS Level II code for Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Priced using national RVUs (physician fee schedule).
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Priced using national RVUs (physician fee schedule) (indicator 11)
- Type of Service
- Medical care
- Effective Date
- 2026-01-01
- 2026 Maintenance
- Payment change
References
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Reference G0438 with the canonical source and edition:
G0438 — Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G0438
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