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Ambetter Health Will No Longer Reimburse HCPCS Code G0439 Effective August 31, 2026

Date: 07/30/26

Ambetter Health will no longer cover and reimburse services rendered under HCPCS Code G0439, effective August 31, 2026.

Providers should no longer submit this code after August 31, 2026, because they will no longer be reimbursed for it. Please use a more appropriate code when rendering services to your patients.

Code

Description

G0439

This code is for a subsequent annual wellness visit (AWV), which includes a personalized prevention plan of service (PPPS) and is a yearly follow-up to the initial AWV. This code is used for follow-up visits occurring 12 months or more after the initial AWV, during which the provider reviews the personalized prevention plan, updates risk assessments, and screens for functional abilities and safety. 

Need Help?

Contact your Sunshine Health Provider Engagement Account Manager (PEAM) or call Provider Services at 1-877-687-1169 (Relay Florida: 1-800-955-8770).

Questions

Ambetter Health has a wealth of resources available to help answer your questions and address your concerns: