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Definition · Programs and measures

Annual Wellness Visit (AWV)

The Annual Wellness Visit (AWV) is a yearly Medicare Part B benefit focused on prevention: the clinician builds or updates a personalized prevention plan, reviews health risks, screens for cognitive impairment and depression, and sets a screening schedule. It is not a head-to-toe physical, and it has no cost-sharing when the provider accepts assignment.

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Ask what Annual Wellness Visit (AWV) means for your organization, then bring your own files when you're ready. No card to start. Most teams are using it the same day.

What an Annual Wellness Visit is

The Annual Wellness Visit is covered once every 12 months under Medicare Part B, after a patient's first 12 months of Part B and not within 12 months of a Welcome to Medicare visit. The first AWV is billed with G0438 and later ones with G0439, at about $174 and $138 in 2026 (national non-facility amounts; locality varies).

The visit covers a health risk assessment, history, a list of current providers, vitals, cognitive and depression screening, functional and safety review, and a written 5-to-10-year screening schedule. For 2026, CMS removed the optional social determinants of health assessment and redefined G0136 as a physical activity and nutrition assessment.

For value-based practices the AWV is a high-value visit: it surfaces gaps and supports risk documentation. Rivvi helps teams find patients due in their own files and reach them by call and text. When the schedule lives in the EHR, Rivvi warm-transfers the patient to scheduling or creates a task, and logs the outcome.

Questions

Annual Wellness Visits, answered

Is an Annual Wellness Visit the same as a physical?
No. Medicare says the AWV isn't a routine physical exam. It is a prevention-planning and risk-review visit. If the clinician also treats a problem at the same visit, that part can be billed separately and the patient may owe cost-sharing for it.
Who is eligible for an AWV?
Medicare Part B beneficiaries who have had Part B for more than 12 months and have not had an AWV or Welcome to Medicare visit (IPPE) in the past 12 months. New enrollees can get the one-time IPPE in their first year, then the yearly AWV after that.
What changed in the AWV for 2026?
The optional social determinants of health risk assessment is no longer an AWV element. In its place is an optional physical activity and nutrition risk assessment, and CMS redefined code G0136 to describe that 5-to-15-minute assessment, billable no more than every six months.

Try it on your own data today.

Free to start. Most teams are using it the same day.