G0513 Prolong preventive services, first 30m
Also known as: extended preventive visit, prolonged health exam, comprehensive health assessment
Prolonged preventive medicine service in office setting for comprehensive assessment, lasting first 30 minutes.
In Plain Language
Extra-long preventive doctor visit; Comprehensive health check; In-depth wellness visit
Clinical Context
Extended preventive visits requiring comprehensive assessment for multiple chronic conditions, complex medication review, or extensive counseling.
RVU Breakdown
| Work RVU | 1.17 |
| Total RVU | 1.17 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
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
With a work RVU of 1.17, this code ranks in the 59th percentile among G Codes codes — 1.2x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0513?
CPT G0513 (Prolong preventive services, first 30m) is a G Codes code. Prolonged preventive medicine service in office setting for comprehensive assessment, lasting first 30 minutes.
Who uses CPT code G0513?
CPT G0513 is used by Preventive Medicine, Primary Care, Internal Medicine. Extended preventive visits requiring comprehensive assessment for multiple chronic conditions, complex medication review, or extensive counseling.
When is CPT G0513 used?
Extended preventive visits requiring comprehensive assessment for multiple chronic conditions, complex medication review, or extensive counseling.
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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.