G0038 Clin pt no ref
Also known as: no referral made, clinical patient no referral
Clinical patient with no referral made to appropriate provider or program for identified condition.
In Plain Language
patient not referred to specialist
Clinical Context
Quality measure performance code tracking referral patterns for identified clinical conditions.
RVU Information
CPT G0038 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Frequently Asked Questions
What is CPT code G0038?
CPT G0038 (Clin pt no ref) is a G Codes code. Clinical patient with no referral made to appropriate provider or program for identified condition.
Who uses CPT code G0038?
CPT G0038 is used by multiple specialties. Quality measure performance code tracking referral patterns for identified clinical conditions.
When is CPT G0038 used?
Quality measure performance code tracking referral patterns for identified clinical conditions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.