Medicare AdvantageBilling CodesMedium impact
Coding Newsletter - Annual Wellness Visit
Florida Blue·FL · Family Medicine, Internal Medicine, General Practice +1 more·Coding
We identified it
Jun 16, 2026
Summary
Florida Blue updated Annual Wellness Visit coding guidelines, adding new optional Social Determinants of Health Risk Assessment (G0136) and clarifying documentation requirements for IPPE, initial AWV, and subsequent AWV visits. The policy reinforces frequency limits of one visit per calendar year and lifetime limits for IPPE and initial AWV across all providers.
Action Required
Immediately: Update billing system to include optional SDOH Risk Assessment code G0136 (limited to every 6 months). Train providers on enhanced documentation requirements for AWV visits including mandatory cognitive assessments and 5-10 year screening schedules. Verify frequency edits are in place to prevent billing multiple AWV codes per calendar year across all providers to avoid 'Annual Wellness Visit Limit Exceeded' denials.