Table of content for "Ccm/bhi by rhc/fqhc 20min mo" (HCPCS G0511)
General information on the “G0511” code
HCPCS Code: G0511
Long Description: Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month
Short Description: Ccm/bhi by rhc/fqhc 20min mo
Original information is taken from G0511 page
Pricing indicators
Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Processing Note Number: 0214
Berenson-Eggers Type of Service (BETOS): M5D – Specialist - other
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20180101
Code Effective Date: 20180101
Action Code: N – No maintenance for this code