The wellness visits are usually done by family physicians, internists and geriatricians, and less frequently by gynecologists.
They do pay for an initial Welcome to Medicare visit, an initial wellness visit and subsequent wellness visits. Original Medicare does not pay for routine physical exams annually for patients – a sore spot for gynecologists, primary care providers and Medicare beneficiaries alike. Medicare Advantage plans can set their own rules about covered preventive services.They may be billed on the day of a covered service (wellness visit, separate, problem-oriented visit) or of a non-covered service (routine preventive care codes 99381-99397, considered routine by original Medicare).These are not comprehensive preventive medicine services.G0101(screening breast and pelvic exam) and Q0091 (obtaining a screening pap smear) may each be billed every two years for low risk patient and every year for high risk patients.Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits.
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