Annual Wellness Visit: how much does Medicare pay?

Nationally, the Q3 2026 Physician Fee Schedule pays $137.61 in an office (non-facility) setting and $137.61 in a facility setting for G0439. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.

Procedure · Updated Aug 1, 2026

Annual Wellness Visit: CPT code and Medicare rate

Medicare's yearly prevention-planning visit. G0439 is the subsequent-year visit; G0438 is the first one a beneficiary ever receives.

Also called: medicare wellness visit, awv, yearly wellness visit, medicare annual checkup.

Usually billed as

G0439 Annual Wellness Visit, Subsequent

Office (non-facility): $137.61
Facility: $137.61

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs — open the code page for the locality breakdown.

This is not a physical exam. It is a review of health risks, medications, and screening history that produces a personalized prevention plan.

Related codes

Codes worth checking before you settle on G0439.

Code	What it covers	Office	Facility
G0438	Annual Wellness Visit, Initial	$174.35	$174.35
G0402	Welcome to Medicare Preventive Visit	$174.69	$114.23

A dash means the code has no national amount in this release — it may be carrier-priced, bundled, or not separately payable. That is never the same as $0.

Common questions

Annual Wellness Visit: which code is it?: G0439 — Annual Wellness Visit, Subsequent. Medicare's yearly prevention-planning visit. G0439 is the subsequent-year visit; G0438 is the first one a beneficiary ever receives.
Annual Wellness Visit: how much does Medicare pay?: Nationally, the Q3 2026 Physician Fee Schedule pays $137.61 in an office (non-facility) setting and $137.61 in a facility setting for G0439. Your local amount differs — the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.
Annual Wellness Visit: what else affects the billing?: This is not a physical exam. It is a review of health risks, medications, and screening history that produces a personalized prevention plan.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

Keep exploring

All procedures How Medicare pays Office vs. facility rates Check a medical bill

This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim — the correct code always depends on what was actually documented and performed.

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