HCPCS Code G0402: Initial Preventive Physical Exam (IPPE), Face-to-Face Visit, New Beneficiary During First 12 Months

HCPCS Code G0402: Initial Preventive Physical Exam (IPPE), Face-to-Face Visit, New Beneficiary During First 12 Months

Learn about the correct use of HCPCS Code G0402 for the initial preventive physical examination (IPPE) including documentation, billing, and coverage details.

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Frequently asked questions

G0402 is not a CPT code. It is an HCPCS code for initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment.

Yes. The IPPE is classified as a preventive visit under Medicare Part B. It emphasizes early detection, reviewing risk factors, and documenting current providers, along with other routine measurements like blood pressure and body mass index. It is not designed for diagnosing or managing acute illnesses.

The annual wellness visit (AWV) helps practices collect key patient information, such as medical and family history, health risk factors, and vital signs.

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