Medicare AdvantageAdministrativeMedium impact
The Annual Wellness Visit: Preventive Care for Your Medicare Advantage Patients
Florida Blue·FL · Family Medicine, Internal Medicine, General Practice +1 more·Medicare
We identified it
Jun 16, 2026
Summary
Florida Blue provides updated guidance on Annual Wellness Visit (AWV) coding and quality measures for Medicare Advantage patients. The policy emphasizes proper use of HCPCS codes G0402, G0438, and G0439 for different AWV scenarios and highlights key HEDIS quality measures to incorporate during visits.
Action Required
Immediately: Billing team should review AWV coding practices to ensure correct use of G0402 for initial Medicare visits (first 12 months), G0438 for first AWV (after 12 months), and G0439 for subsequent AWVs. Providers should adopt consistent AWV templates incorporating HEDIS quality measures (immunizations, cancer screenings, blood pressure control, advance care planning). Access Provider Portal through Availity Essentials to identify HCC and quality measure opportunities for scheduled patients.