Geriatrics & Care Management
Heavy on Medicare wellness, chronic care management, transitional care, advance care planning, cognitive assessment, and SDOH. These are time-based codes with strict documentation; getting the documentation right turns 20 minutes of phone work into real RVUs.
Top billed codes
The codes that drive revenue in this specialty. Click any code for documentation requirements, modifiers, and pitfalls.
| Code | Description | wRVU | Total RVU | Medicare $ | |
|---|---|---|---|---|---|
| G0438 | Ppps, initial visit First AWV for a Medicare beneficiary who is past the 12-month IPPE window. Once per lifetime. | 2.60 | 5.22 | $174 | Details → |
| G0439 | Ppps, subseq visit Every year after the initial AWV. Cannot be billed within 12 months of the prior AWV. | 1.92 | 4.12 | $138 | Details → |
| 99490 | Chrnc care mgmt staff 1st 20 Patient with 2+ chronic conditions expected to last 12+ months. Initial 20 minutes of staff time in a calendar month. | 1.00 | 1.98 | $66 | Details → |
| 99439 | Chrnc care mgmt staf ea addl Add-on to 99490 for each additional 20 minutes of clinical staff time, max 2 units (40 additional minutes). | 0.70 | 1.51 | $50 | Details → |
| 99495 | Transj care mgmt mod f2f 14d Post-discharge transition. Phone contact within 2 business days, face-to-face visit within 14 days. | 2.78 | 6.59 | $220 | Details → |
| 99496 | Transj care mgmt high f2f 7d Post-discharge transition with high-complexity MDM and face-to-face within 7 days. | 3.79 | 8.94 | $299 | Details → |
| 99497 | Advncd care plan 30 min Discussion of advance directives, healthcare proxy, goals of care. Patient must be present at start unless meeting with a surrogate is explicitly billed. | 1.50 | 2.60 | $87 | Details → |
| 99498 | Advncd care plan addl 30 min Add-on to 99497 for each additional 30 minutes. | 1.40 | 2.34 | $78 | Details → |
| 99483 | Cognitive assessment & care plan Patient with mild cognitive impairment, dementia, or suspicion thereof. Once per 180 days. | 3.44 | 6.08 | $203 | Details → |
| G0136 | SDOH risk assessment, 5-15 min Once per year per beneficiary. Requires a standardized SDOH screening tool. | 0.18 | 0.37 | $12 | Details → |
Unlock the full Geri / CCM coding guide
Scenarios that show how the codes stack on real encounters, payer-specific modifier rules, and bundling pitfalls for Geri / CCM are part of the Pro tier. Infectious Disease stays free as a sample.
- ✓Every other specialty in the catalog unlocks
- ✓30 chart audits per day on top of this
- ✓Full Comp Database with p10 / p90 granular percentiles
Search the full library or jump straight to the calculator to model volumes.
Educational reference, not billing or legal advice. Coverage curated, not exhaustive. Verify against payer contracts.