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Reimbursement

balance sheet Most older adults in New York City are covered by Medicare. Below are some tips on Medicare reimbursement for falls-related assessment and interventions.


Medicare Annual Wellness Visit
  • First Annual Wellness Visit billing code: G0438.


  • Subsequent Annual Wellness Visit billing code: G0439.


This expanded benefit under the Affordable Care Act was offered to Medicare Part B beneficiaries beginning January 1, 2011. This benefit encourages Medicare participants to obtain preventative services, which include falls screening and establishment of a tailored fall prevention plan.

For additional information regarding the Annual Wellness Visit and reimbursement for physicians, please visit the American College of Physicians (ACP) or review patient information at Medicare.gov.

 

Last Updated: February 8, 2012