US · guidance
CMS Pub. 100-04, ch. 18, § 140.4
Rural Health Clinic (RHC)/Federally Qualified Health Center (FQHC) Special Billing
Instructions
(Rev. 2159, Issued: 02-15-11, Effective: 01-01-11, Implementation: 04-04-11)
Beginning with dates of service on or after January 1, 2011, if an AWV is provided in an RHC or FQHC, the
professional portion of the service is billed to the A/B MAC (A) using TOBs 71X and 77X, respectively, and must
include HCPCS code G0438 or G0439. Deductible and coinsurance do not apply.
History
(Rev. 2159, Issued: 02-15-11, Effective: 01-01-11, Implementation: 04-04-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4b0642ea638dec8d33d50ed3cd172a504b6707e2665b573608da00579b779914
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