Medicare AdvantageCoverageMedium impact
Ambetter Health Will No Longer Reimburse HCPCS Code G0439 Effective August 31, 2026
Ambetter·FL·Coding
Effective date
Aug 31, 2026
We identified it
Aug 26, 2026
Summary
Ambetter Health will discontinue reimbursement for HCPCS code G0439 (subsequent annual wellness visits) effective August 31, 2026. Billing teams must stop submitting this code after the effective date and use alternative codes for follow-up wellness visits to avoid claim denials.
Action Required
By August 31, 2026: Billing team must remove G0439 from billing software and encounter templates for Ambetter Health members. Identify and document the appropriate replacement code for subsequent annual wellness visits with personalized prevention plan updates. Communicate to all providers that G0439 will no longer be reimbursed by Ambetter Health after this date and instruct them to use the alternative code for all follow-up wellness visits occurring 12+ months after the initial AWV. Update claim scrubbing rules to flag any G0439 submissions to Ambetter Health and route to providers for code correction. Review claims submitted between now and August 31, 2026 to ensure no denials occur. Claims submitted after August 31, 2026 using G0439 will be denied by Ambetter Health.