Teaching Physician Services
Effective January 1, 2011, section 4103 of the Affordable Care Act provided coverage for annual wellness visits (HCPCS codes G0438 and G0439). These codes are included under the primary care exception. The policies concerning late night admissions and the mix of residents under the primary care exception have been clarified. The policies concerning the interpretation of diagnostic radiology and other diagnostic tests and the use of the GC and GE modifiers, which were inadvertently omitted during previous manual updates, are included in this CR. This CR instructs contractors to recognize and implement manual updates.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 14, 2011
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.