In simple words: This is a free "Welcome to Medicare" checkup you can get within your first year of having Medicare Part B.It helps create a health plan for you.

This code covers a comprehensive, face-to-face visit for a new Medicare beneficiary within the first 12 months of Part B enrollment. It includes a review of medical and social history, a physical examination, functional ability assessment, end-of-life planning discussion, education, counseling, and referrals as needed.Measurements taken may include height, weight, body mass index (BMI), blood pressure, and visual acuity. This is a one-time benefit.

Example 1: A patient enrolls in Medicare Part B in January 2024. They schedule an IPPE with their physician in June 2024 to review their health status and establish a preventive care plan., A patient delays their IPPE and schedules it in November 2024, still within their first 12 months of Part B coverage that began in March 2024. During the visit, the physician detects high blood pressure and refers the patient to a cardiologist., A patient has their IPPE and, based on family history, the physician orders a screening EKG (G0403) to assess their heart health. This EKG is billed separately but is linked to the initial IPPE.

Documentation should include a detailed patient history (medical, social, family), results of the physical exam, functional assessment findings, end-of-life care discussion documentation, provided education and counseling, referrals made, and measured vital signs (height, weight, BMI, blood pressure, visual acuity). Any additional procedures or services, such as a screening EKG, should also be documented.