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

A subsequent Medicare annual wellness visit updates the prevention plan after an initial AWV, once 11 full calendar months have passed since the previous AWV.

CMS RVU26DEffective Oct 1, 2026One payment locality10.3M Medicare services in 2024

In Madera, CA, Medicare pays $143.32 for G0439 in the office.

$143.32Office (non-facility)
Not available in this settingHospital or facility
+4.1%vs the national office rate ($137.61)

Check a contract rate as a % of Medicare · G0439 nationwide

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

We’ll open G0439 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Madera, CA
  2. What G0439 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

Billing guides for G0439: Annual wellness visit codes

How Madera, CA compares for G0439

Across 109 of 109 payment localities, the office rate for G0439 runs from $125.76 in Arkansas to $173.21 in San Benito County, CA. Madera, CA pays $143.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0439 in Madera, CA vs other payment areas
  1. Madera, CA · this page$143.32
  2. Bakersfield, CA · California$143.77+$0.45
  3. Chico, CA · California$143.32
  4. El Centro, CA · California$143.35+$0.03
  5. Fresno, CA · California$143.32
  6. Hanford, CA · California$143.32
  7. Los Angeles, CA · California$151.43+$8.11

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

G0439 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$143.32—
Modesto, CACalifornia$143.32—
Napa, CACalifornia$161.50—
Oxnard, CACalifornia$150.35—
Redding, CACalifornia$143.32—
Rest of CaliforniaCalifornia$143.32—
Riverside, CACalifornia$144.77—
Sacramento, CACalifornia$149.18—

G0439 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$125.76

$172.22

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0439 office rate range by state
State / territoryOffice rate rangeLocalities
AK$172.221
AL$127.081
AR$125.761
AZ$134.841
CA$143.32–$173.2129
CO$141.861
CT$145.131
DC$153.871
DE$136.661
FL$136.75–$147.093
GA$130.98–$139.782
GU$145.261
HI$145.261
IA$129.121
ID$129.791
IL$134.04–$144.034
IN$130.331
KS$128.821
KY$129.571
LA$129.48–$134.122
MA$141.42–$153.182
MD$138.73–$153.873
ME$130.44–$135.392
MI$132.16–$138.172
MN$136.561
MO$127.96–$134.303
MS$126.871
MT$137.601
NC$131.411
ND$135.031
NE$129.591
NH$139.901
NJ$146.96–$153.012
NM$132.751
NV$136.961
NY$132.87–$158.505
OH$131.631
OK$129.251
OR$136.05–$145.202
PA$131.70–$142.442
PR$138.311
RI$140.641
SC$131.711
SD$134.731
TN$129.311
TX$131.08–$141.268
UT$133.021
VA$135.16–$153.872
VI$138.311
VT$134.781
WA$141.07–$155.722
WI$131.701
WV$130.431
WY$136.481

See G0439 in every payment locality

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.

How the rate is built · G0439

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.92

1.92 RVUs× 1.000 GPCI

Practice expense2.07

2.07 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.1200

Conversion factor

$33.4009

Medicare rate

$137.61

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Madera, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,261

Code
G0439
Physician work
1.92
Practice expense
2.07
Malpractice
0.13

GPCI2026.csv

14

Locality
Madera, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for G0439 in Madera, CA
ComponentRVULocality factorAdjusted
Physician work1.92× 1.0171.9526
Practice expense2.07× 1.0962.2687
Malpractice0.13× 0.5360.0697
Total RVUs4.2910
Conversion factor× 33.4009

Office rate, Madera, CA$143.32

Office: (1.92 × 1.017 + 2.07 × 1.096 + 0.13 × 0.536) × $33.4009 = $143.32

Open G0439 in the RVU calculator

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.

Place of service · G0439

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$137.61

Higher because the practice carries its own overhead.

How G0439 has changed in Madera, CA

G0439 · Office / nonfacility

$143.32

Effective 2026-10-01

The base rate is $12.23 higher than on 2025-10-01, moving from $131.09 to $143.32 (9.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $131.09changed to$143.32

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.86 changed to 2.07
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $134.90changed to$131.09

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $132.70changed to$134.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $134.60changed to$132.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.80 changed to 1.86
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $136.85changed to$134.60

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $137.66changed to$136.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.78 changed to 1.80
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $121.42changed to$137.66

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 1.50 changed to 1.92
    • Practice expense RVU 1.66 changed to 1.78
    • Malpractice RVU 0.09 changed to 0.13
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $122.19changed to$121.42

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.68 changed to 1.66
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $123.22changed to$122.19

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.71 changed to 1.68

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $122.37changed to$123.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.68 changed to 1.71
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$122.37

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$143.32Not available in this settingRVU26D
2026-07-01$143.32Not available in this settingRVU26C
2026-04-01$143.32Not available in this settingRVU26B
2026-01-01$143.32Not available in this settingRVU26A
2025-10-01$131.09Not available in this settingRVU25D
2025-07-01$131.09Not available in this settingRVU25C
2025-04-01$131.09Not available in this settingRVU25B
2025-01-01$131.09Not available in this settingRVU25A
2024-10-01$134.90Not available in this settingRVU24D
2024-07-01$134.90Not available in this settingRVU24C
2024-04-01$134.90Not available in this settingRVU24B
2024-03-09$134.90Not available in this settingRVU24AR
2024-01-01$132.70Not available in this settingRVU24A
2023-10-01$134.60Not available in this settingRVU23D
2023-07-01$134.60Not available in this settingRVU23C
2023-04-01$134.60Not available in this settingRVU23B
2023-01-01$134.60Not available in this settingRVU23A
2022-10-01$136.85Not available in this settingRVU22D
2022-07-01$136.85Not available in this settingRVU22C
2022-04-01$136.85Not available in this settingRVU22B
2022-01-01$136.85Not available in this settingRVU22A
2021-10-01$137.66Not available in this settingRVU21D
2021-07-01$137.66Not available in this settingRVU21C
2021-04-01$137.66Not available in this settingRVU21B
2021-01-01$137.66Not available in this settingRVU21A
2020-10-01$121.42Not available in this settingRVU20D
2020-07-01$121.42Not available in this settingRVU20C
2020-04-01$121.42Not available in this settingRVU20B
2020-01-01$121.42Not available in this settingRVU20A
2019-10-01$122.19Not available in this settingRVU19D
2019-07-01$122.19Not available in this settingRVU19C
2019-04-01$122.19Not available in this settingRVU19B
2019-01-01$122.19Not available in this settingRVU19A
2018-10-01$123.22Not available in this settingRVU18D
2018-07-01$123.22Not available in this settingRVU18C
2018-04-01$123.22Not available in this settingRVU18B
2018-01-01$123.22Not available in this settingRVU18AR1
2017-10-01$122.37Not available in this settingRVU17D
2017-07-01$122.37Not available in this settingRVU17C
2017-04-01$122.37Not available in this settingRVU17B
2017-01-01$122.37Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price G0439 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Madera
  • Ahwahnee
  • Bass Lake
  • Bonadelle Ranchos
  • Chowchilla
  • Coarsegold
  • Fairmead
  • La Vina

Browse all communities in California

G0439 billing questions

How do I choose between G0438 and G0439?

G0438 is the beneficiary's one-time initial AWV. Use G0439 for a later AWV after G0438, once 11 full calendar months have passed since the previous AWV; an IPPE alone does not qualify the beneficiary for G0439.

Can a problem-oriented E/M visit be billed on the same day?

Yes, if a significant, separately identifiable problem is evaluated and documented. Report the E/M code with modifier 25; normal cost sharing applies to that service.

Can advance care planning be billed with the subsequent AWV?

Yes. Advance care planning is optional at the AWV; report 99497 and, when the additional time requirement is met, 99498. Append modifier 33 to the advance care planning code when the same provider furnishes it on the AWV date so its deductible and coinsurance are waived.

Is annual depression screening separately billable with G0439?

G0444 may be reported with G0439 when the separate annual depression screening is performed and documented. CMS does not allow G0444 with the initial AWV, G0438.

Does the subsequent AWV require a physical exam?

No. It requires measurements, a health risk assessment, cognitive impairment assessment, and prevention-plan updates, but not a comprehensive physical examination.

What happens if G0439 is billed too soon?

Medicare may deny it for frequency if 11 full calendar months have not passed since the previous AWV. Check the prior AWV date and confirm that the beneficiary has received G0438.

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

Show the CMS file lines behind this rate
RVUs for G0439PPRRVU2026_Oct_nonQPP.csv, line 15,261 (RVU26D)
Geographic factors for Madera, CAGPCI2026.csv, line 14 (RVU26D)

Open CMS sourceHow we calculate rates

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