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HCPCS G0439 Fee Schedule

Last Verified: January 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 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$164.211952891426 - CAROLYN HUANG463778226COObstetrics & Gynecology Physician (207V00000X)
United
G0439$264.581114462827 - MORGAN BARR593443182 - WOMENS CARE FLORIDA, LLPFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$161.711497722839 - GHIAS RANA203639329VAObstetrics & Gynecology Physician (207V00000X)
United
G0439$421.101093893828 - CAROL DARWISH571205856CAObstetrics & Gynecology Physician (207V00000X)
United
G0439$163.191629086954 - KAREN PATTERSON742958277 - SCOTT & WHITE CLINICTXObstetrics & Gynecology Physician (207V00000X)
United
G0439$159.531265744882 - FELICIA KATZ942854057 - IHC HEALTH SERVICES INCUTObstetrics & Gynecology Physician (207V00000X)
United
G0439$165.691033670740 - BRITTANY NOVAK352594698ILObstetrics & Gynecology Physician (207V00000X)
United
G0439$264.581447363478 - SYLVIA SIEGFRIED811291017 - (FL) WOMENS HEALTH HOSPITALISTS LLCFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$264.581518352376 - RYAN BROSCH593443182 - WOMENS CARE FLORIDA, LLPFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$148.971760774178 - TEUTA SHEMSHEDINI824420017 - OBHG PENNSYLVANIA PCCOObstetrics & Gynecology Physician (207V00000X)
United
G0439$242.501316441496 - ANNE GERSTNER540620889 - INOVA HEALTH CARE SERVICESFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$102.481417932815 - TAJA JOSEPHS455518039VAObstetrics & Gynecology Physician (207V00000X)
United
G0439$264.581407842461 - AMY SOLOMON593443182 - WOMENS CARE FLORIDA, LLPFLObstetrics & Gynecology Physician (207V00000X)
United
G0439$130.391124348594 - BAILEY CANNON DEAN520486540 - SINAI HOSPITAL OF BALTIMORE INCDCObstetrics & Gynecology Physician (207V00000X)
United
G0439$327.251902267867 - DANIELLE BEHARIE943192446 - (CA) UNIVERSITY HEALTHCARE ALLIANCEFLObstetrics & 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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