HCPCS code G0468 — Fqhc visit, ippe or awv.
Status: Active.
Effective Oct 1, 2014.
Source: CMS HCPCS Level II.
G0468
ActiveFqhc visit, ippe or awv
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Oct 1, 2014
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G0468 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits