Annual wellness visit is now covered in Aetna (MA) Medicare advantage Plan, effective from the 01/01/2013. This change was made as a result of a change in coverage made by the Centers for Medicare and Medicaid Services (CMS).

Medicare Advantage Plans now covers Annual Wellness Visit in Aetna (MA)

Aetna Medicare Advantage Plans of 2013 start providing coverage for billing Annual Wellness Visit of patients. Aetna MA insurance plan is now eligible to cover an annual wellness visit. The Annual Physical Exam will not be covered by Aetna Medicare Advantage Plan.

CPT Codes for billing and coding annual wellness visit:

CPT Code G0438 Annual Wellness Visit includes a personalized prevention plan of service, initial visit.

CPT Code G0439 Annual Wellness Visit includes a personalized prevention plan of service (pps), subsequent visit.

Do not bill MA Plans the Preventive CPT codes for the Annual Physical Exam. Preventive CPT Codes are 99381-99397, 99401-99404, 99201-99205 and 99211-99215 with primary diagnosis of preventive.

The preventive diagnosis codes that are not covered are: V03.0-V03.9, V04.0-V04.89, V05.0-V05.9, V06.0-V06.9, V20.0-V20.2, V70.0, V70.3, V70.5

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  1. Medicare Wellness Visit is all about the overall health of the patient. Medicare Annual Visit online contains all the records of physical health of the patient and the treatment is provided to the patient accordingly. AWV is providing actually the good Medicare Wellness Visit online.


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