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HCPCS G0439 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit
Key FactDetail
Service Type

Procedures / Professional Services

Counseling, Screening, and Prevention Services

Complexity LevelLow

National average reimbursement for HCPCS G0439 by major payers:

bcbs

$157.71

uhc

$143.53

aetna

$138.69

cigna

$139.82

Preview provider-level rates for...
For billing codeHCPCS G0439
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS G0439

United
G0439$448.691568742054 - AMIRA ZAID341996544CAObstetrics & Gynecology Physician (207V00000X)
United
G0439$157.521881613701 - SUSAN CHAMBERS731493662OKObstetrics & Gynecology Physician (207V00000X)
United
G0439$188.051841493459 - YUSIF ADDAE650512900 - SMH PHYSICIAN SERVICES INCFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$170.221356328439 - JOHN SHIE272649285OHObstetrics & Gynecology Physician (207V00000X)
United
G0439$132.361154703452 - CRISTINA COLON APONTE596012065 - NORTH BROWARD HOSPITAL DISTRICTFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$165.691033670740 - BRITTANY NOVAK352594698ILObstetrics & Gynecology Physician (207V00000X)
United
G0439$171.171659318772 - INDIAN RIVER HEALTH SERVICES INC650029298 - INDIAN RIVER HEALTH SERVICES INCFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$148.971760774178 - TEUTA SHEMSHEDINI824420017 - OBHG PENNSYLVANIA PCCOObstetrics & Gynecology Physician (207V00000X)
United
G0439$198.781518966639 - SHARON ROSS260609255 - FLORIDA WOMAN CARE, LLCFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$421.101093893828 - CAROL DARWISH571205856CAObstetrics & Gynecology Physician (207V00000X)
United
G0439$242.881639168560 - HOWARD JOHNSON II541581185 - MCV ASSOCIATED PHYSICIANSFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$264.581942298278 - SUZANNE CLEMONS593443182 - WOMENS CARE FLORIDA, LLPFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$173.531881662153 - LISA JARDINE593140335 - BAYCARE MEDICAL GROUP INCFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$143.601356342596 - JOUHAINA MALEH822768899 - BEAUMONT MEDICAL GROUP - HOSPITAL-BASED SERVICESMIObstetrics & Gynecology Physician (207V00000X)
United
G0439$248.101588637565 - SUSAN FOSNOT542129332 - (FL) VITALMD GROUP HOLDING, LLCFLObstetrics & Gynecology Physician (207V00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS G0439 vs. Other Counseling, Screening, and Prevention Services Codes

The HCPCS G0439 code is part of the Procedures / Professional Services services used for Counseling, Screening, and Prevention Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS G0439 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
G0438-HCPCSModerateAnnual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit
G0439-HCPCSLowAnnual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit
G0442-HCPCSLowAnnual alcohol misuse screening, 5 to 15 minutes

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0439. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0439 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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