Traditional MedicareBilling CodesMedium impact
Do you have time for a Quality Minute about annual wellness visits?
BCBS Michigan·MI · Family Medicine, Internal Medicine, General Practice +1 more·Quality Measures
We identified it
Jun 16, 2026
Summary
This is guidance on Medicare annual wellness visits, emphasizing that practices can bill additional E/M services with modifier 25 on the same day as the wellness visit. The policy provides coding instructions for G0402, G0438, and G0439 and workflow recommendations to optimize billing and quality metrics.
Action Required
Immediately: Billing team should implement workflow to bill E/M services with modifier 25 when provided on same day as annual wellness visits. Update billing software to prompt for modifier 25 with concurrent E/M services. Train staff on eligibility requirements and ensure documentation supports medical necessity for both the wellness visit and E/M service to avoid claim denials.