Preventive & Medicare wellness

G0439 - RVUs & Medicare payment (2026)

Medicare annual wellness visit, subsequent.

Component	Non-facility	Facility
Work RVU	1.92	1.92
Practice expense RVU	2.07	2.07
Malpractice RVU	0.13	0.13
Total RVUs	4.12	4.12
National payment (CF $33.4009)	$137.61	$137.61
Qualifying APM payment (CF $33.5675)	$138.30	$138.30

How G0439 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for G0439 ranges from $125.76 in Arkansas (AR) to $173.21 in San Jose-Sunnyvale-Santa Clara (CA); calculate G0439 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $173.21 San Jose-Sunnyvale-Santa Clara (CA) $172.61 Alaska (AK) $172.22 San Francisco-Oakland-Berkeley (CA) $169.70 San Francisco-Oakland-Berkeley (CA) $169.55 Napa (CA) $161.50 Vallejo (CA) $161.29 NYC Suburbs/Long Island (NY) $158.50 National average $137.61 … 97 more localities between … Rest Of Missouri (MO) $127.96 Alabama (AL) $127.08 Mississippi (MS) $126.87 Arkansas (AR) $125.76

Non-facility payment for G0439 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - preventive & medicare wellness

G0402 · welcome to medicare preventive visit (once, first 12 months)
G0438 · medicare annual wellness visit, initial

Frequently asked questions

How much does Medicare pay for G0439 in 2026?

The national non-facility payment is $137.61 and the facility payment is $137.61, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for G0439?

The 2026 work RVU for G0439 is 1.92. Total RVUs are 4.12 in the non-facility setting and 4.12 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.