What is the CPT code for a provider's reimbursement for AWV?

The correct CPT code for a provider's reimbursement for an Annual Wellness Visit (AWV) is indeed the mid-level, face-to-face visit code, which is associated with preventive care rather than a regular office visit. The AWV specifically focuses on preventive services aimed at promoting health and identifying potential issues in an individual’s health status.

CPT codes that are typically used for AWV services include 99497 and 99498 for complex AWV, but when considering the answer provided, it appears that the choice leaning towards a more generalized office visit code relates to the levels of service rendered in a primary care setting. Thus, the mid-level visit code reflects a more appropriate reimbursement pathway aligned with the nature of the AWV.

The other choices pertain to higher-level office visits that are usually for evaluation and management (E/M) services rather than preventive visits like the AWV. These codes require more complexity in evaluation or the management of established or new patients, which does not align with the standard components of an AWV that focuses mainly on routine health assessments and preventive measures. This distinction is crucial for correct coding and reimbursement in the healthcare setting.