HCPCS Level II code
G0438 — Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Medicare payment
$174.35
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
G0438
Code system
HCPCS Level II
Full description
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Recent policy changes matched to G0438
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