Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

G0438 - G0451  Counselling, Wellness, and Screening Services

G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
shortPpps, initial visit
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
2.432.232.230.134.794.79XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
shortPpps, subseq visit
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
1.51.661.660.093.253.25XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
G0442
Annual alcohol misuse screening, 15 minutes
shortAnnual alcohol screen 15 min
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.180.080.320.010.270.51XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
G0443
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
shortBrief alcohol misuse counsel
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.450.190.260.030.670.74XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
G0444
Annual depression screening, 15 minutes
shortDepression screen annual
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.180.080.320.010.270.51XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
G0445
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
shortHigh inten beh couns std 30m
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.450.190.30.030.670.78XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
G0446
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
shortIntens behave ther cardio dx
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.450.190.260.030.670.74XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
G0447
Face-to-face behavioral counseling for obesity, 15 minutes
shortBehavior counsel obesity 15m
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.450.190.260.030.670.74XXX
MUE
LocationValueAjudication IndicatorRationale
OPH2.03 Date of Service Edit: ClinicalCMS Policy
G0448
Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing
shortPlace perm pacing cardiovert
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
G0451
Development testing, with interpretation and report, per standardized instrument form
shortDevlopment test interpt&rep
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.270.270.010.280.28XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: Data
OPH1.03 Date of Service Edit: ClinicalClinical: Data