HCPCS code G0439: Annual wellness visit, subsequent visit2026 Medicare rate & RVUs

Medicare pays $137.61 for G0439 nationally in the office. Local office rates run $125.76–$173.21.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0439 covers

The subsequent annual wellness visit is a Medicare Part B preventive benefit. It updates the health risk assessment, medical and family history, provider and supplier list, and measurements such as weight and blood pressure. It also includes cognitive impairment assessment, an updated written screening schedule and risk-factor list, and personalized health advice with referrals as appropriate. Physicians, nurse practitioners, physician assistants, and clinical nurse specialists commonly furnish it in primary care offices. A team that includes qualified professionals such as health educators or registered dietitians may furnish it under physician direct supervision. It is not a comprehensive physical examination.

Report G0439 after the beneficiary has received an initial AWV (G0438) and 11 full calendar months have passed since the previous AWV. Document the updated assessment and the revised prevention plan provided to the patient. Medicare waives the deductible and coinsurance for the AWV. If the clinician also evaluates a significant, separately identifiable problem, report the appropriate E/M code with modifier 25; normal cost sharing applies to that E/M service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where G0439 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G0439 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the G0439 rate is calculated

Each of G0439’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for G0439

G0439 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

G0439 compared with similar codes

How to choose

G0438Annual wellness visitInitial visit, first AWV

G0438 is the one-time initial AWV. G0439 updates the prevention plan at a later eligible AWV; both require a health risk assessment.

G0402Welcome visitFirst 12 months of Part B

G0402 is the one-time introductory preventive visit available during the first 12 months of Part B enrollment. It is not a substitute for G0439, which follows an initial AWV.

99397Preventive examEstablished patient, age 65+

99397 describes a comprehensive preventive medicine visit for patients 65 and older. Original Medicare does not cover routine preventive physical exams; G0439 covers the defined subsequent AWV instead.

Codes related to G0439

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates