|
G0438 |
 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
| short | Ppps, initial visit |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 2.43 | 2.23 | 2.23 | 0.13 | 4.79 | 4.79 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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G0439 |
|
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
| short | Ppps, subseq visit |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 1.5 | 1.66 | 1.66 | 0.09 | 3.25 | 3.25 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
|
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|
G0442 |
|
Annual alcohol misuse screening, 15 minutes
| short | Annual alcohol screen 15 min |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.18 | 0.08 | 0.32 | 0.01 | 0.27 | 0.51 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | CMS Policy |
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|
G0443 |
|
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
| short | Brief alcohol misuse counsel |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.45 | 0.19 | 0.26 | 0.03 | 0.67 | 0.74 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | CMS Policy |
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G0444 |
|
Annual depression screening, 15 minutes
| short | Depression screen annual |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.18 | 0.08 | 0.32 | 0.01 | 0.27 | 0.51 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | CMS Policy |
|
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|
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
| short | High inten beh couns std 30m |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.45 | 0.19 | 0.3 | 0.03 | 0.67 | 0.78 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | CMS Policy |
|
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G0446 |
|
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
| short | Intens behave ther cardio dx |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.45 | 0.19 | 0.26 | 0.03 | 0.67 | 0.74 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
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G0447 |
|
Face-to-face behavioral counseling for obesity, 15 minutes
| short | Behavior counsel obesity 15m |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.45 | 0.19 | 0.26 | 0.03 | 0.67 | 0.74 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| OPH | 2.0 | 3 Date of Service Edit: Clinical | CMS Policy |
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G0448 |
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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
| short | Place perm pacing cardiovert |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
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G0451 |
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Development testing, with interpretation and report, per standardized instrument form
| short | Devlopment test interpt&rep |
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period |
|---|
| 0.0 | 0.27 | 0.27 | 0.01 | 0.28 | 0.28 | XXX |
|
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
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