2026 Medicare Annual Wellness Visit CPT Codes

Medicare uses three main HCPCS codes for 2026 Annual Wellness Visits (AWVs): G0402 for the “Welcome to Medicare” exam, G0438 for the first Annual Wellness Visit, and G0439 for every subsequent Annual Wellness Visit once a year after that. These wellness visits are preventive—not head‑to‑toe physicals—and they focus on health risk assessment, screening, and a personalized prevention plan for Medicare beneficiaries. A Medicare Annual Wellness Visit is a Part B preventive benefit that helps clinicians identify health risks, update medical history, and create a personalized prevention plan for eligible patients. Unlike a traditional annual physical, the AWV emphasizes a structured health risk assessment, screening schedule, and counseling rather than a comprehensive physical exam. For practices, AWVs support value‑based care by closing gaps in preventive services, improving patient engagement, and generating reliable, recurring revenue when coded correctly. For patients, most AWVs are covered at 100% by Medicare, meaning no deductible or coinsurance when the visit is billed under the correct AWV CPT/HCPCS codes. For more insights read full blog: https://www.healtharc.io/blogs/cpt-code-for-annual-wellness-visit/