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MEDICARE WELLNESS VISITS / UPDATED SEPTEMBER 2026

Annual Wellness Visit checklist

An AWV develops or updates a personalized prevention plan. It is not a routine physical and does not automatically make every screening or assessment separately billable.

1. Verify the correct service

Read the G0439 frequency explanation ↗

2. Complete the required prevention work

Use the CMS checklist for the selected visit: health risk assessment, relevant history and measurements, cognitive assessment, risk review, and a personalized screening/prevention plan. Initial and subsequent requirements differ. This summary does not replace the full CMS component list.

3. Review additional services individually

A separate problem-oriented E/M needs significant, separately identifiable work. Apply modifier 25 to that E/M when appropriate. Check each other service's eligibility, documentation, bundling, frequency, and cost-sharing rules. Do not automatically add an HRA or screening code for work already included in the AWV.

Check the G2211 preventive-service exception ↗

Primary source: CMS Annual Wellness Visit guidance and full component checklist.

Get the printable coding reference ↗

Educational reference. Verify current payer rules before claim submission.