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See a sample rate comparisonHCPCS G0439 Fee Schedule
Last Verified: September 2026
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 Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Counseling, Screening, and Prevention Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0439 |
National average reimbursement for HCPCS G0439 by major payers:
$157.71
$143.53
$138.69
$139.82
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HCPCS G0439
5 of 25 sample ratesHigher to lower in this preview
Ruchi Wadhwa
$456.57Published rateAmy Solomon
Womens Care Florida, LLP
$264.58Published rateTemitope Oshodi
Florida Woman Care, LLC
$198.78Published rateFelicia Katz
Ihc Health Services Inc
$159.53Published rateTaja Josephs
$102.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS 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.
| Code | Complexity | Description |
|---|---|---|
| G0438-HCPCS | Moderate | Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit |
| G0439-HCPCS | Low | Annual wellness visit, includes a personalized prevention plan of service (PPPS), subsequent visit |
| G0442-HCPCS | Low | Annual 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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