HCPCS G0537 Code. Risk ascvd tst once pr 12 mo


Table of content for "Risk ascvd tst once pr 12 mo" (HCPCS G0537)

General information on the “G0537” code

HCPCS Code: G0537
Long Description: Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months
Short Description: Risk ascvd tst once pr 12 mo

Original information is taken from G0537 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: C – Carrier judgment

Type of service


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: 20250101
Code Effective Date: 20250101
Action Code: A – Add procedure or modifier code