G0438 HCPCS Level II code: Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0438 is the HCPCS code for “Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Short description: Ppps, initial visit
HCPCS · United States
Medicare details
The indicators CMS publishes with G0438 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established using national RVUs
- Type of service
- Medical care
- BETOS category
- Specialist - other
- Added
- Jan 1, 2011
Where G0438 sits
- 1G codesProcedures and professional services
- 2Active code G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0438 mean?
G0438 is the HCPCS code for “Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0438?
CMS lists G0438’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established using national RVUs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0438
All G codesG0432Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screeningG0433Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screeningG0434Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounterG0435Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screeningG0436Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutesG0437Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutesG0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visitG0442Annual alcohol misuse screening, 5 to 15 minutesG0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutesG0444Annual depression screening, 5 to 15 minutesG0445High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change…G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes