{
    "code": "G0439",
    "coding_system": "HCPCS",
    "canonical_url": "https://localishealth.com/hcpcs/G0439/2021/A",
    "release_specific_url": "https://localishealth.com/hcpcs/G0439/2021/B",
    "description": "A follow-up Annual Wellness Visit under Medicare, performed in years after the initial visit to update the health risk assessment, medication list, and personalized prevention plan, and to repeat the cognitive screening.",
    "answer": {
        "question": "How much did Medicare pay for HCPCS G0439 in Q2 2021?",
        "text": "Medicare paid $133.64 for HCPCS G0439 in the office (non-facility) setting and $133.64 in a facility under the Q2 2021 Physician Fee Schedule, effective April 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 13.9%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "B",
        "label": "Q2 2021",
        "effective": "April 1 – June 30, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 133.64,
        "facility": 133.64,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.92,
        "practice_expense_non_facility": 1.78,
        "practice_expense_facility": 1.78,
        "malpractice": 0.13
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q2 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21b-updated-03022021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/B",
        "file": "PPRRVU21_APR.csv",
        "row": 1628,
        "sha256": "524bee7096166c9011a4ea02189783ef8c91f4d444585e5b2d561b879f9262de"
    },
    "modified_at": "2026-08-04T03:10:33+00:00"
}
