G0039 Pt no ref, rn specimen
Also known as: no referral with RN rationale, referral declined by specialist
Patient not referred due to reason specified by registered nurse or specialist, with clinical documentation of rationale.
In Plain Language
patient not sent to specialist with documented reason
Clinical Context
Quality measure code documenting clinical rationale for not making an expected referral.
RVU Information
CPT G0039 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 G0039?
CPT G0039 (Pt no ref, rn specimen) is a G Codes code. Patient not referred due to reason specified by registered nurse or specialist, with clinical documentation of rationale.
Who uses CPT code G0039?
CPT G0039 is used by multiple specialties. Quality measure code documenting clinical rationale for not making an expected referral.
When is CPT G0039 used?
Quality measure code documenting clinical rationale for not making an expected referral.
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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.