G0534 Coordinated care/or referral
Also known as: care coordination, referral service, care coordination fee
Coordinated care service or care referral to other providers or services for patient care management.
In Plain Language
Arranging care with other doctors; Patient care coordination; Doctor referral service
Clinical Context
Administrative and clinical services coordinating patient care across multiple providers and settings.
RVU Information
CPT G0534 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.
Specialties
Frequently Asked Questions
What is CPT code G0534?
CPT G0534 (Coordinated care/or referral) is a G Codes code. Coordinated care service or care referral to other providers or services for patient care management.
Who uses CPT code G0534?
CPT G0534 is used by Care Management, Case Management, Primary Care. Administrative and clinical services coordinating patient care across multiple providers and settings.
When is CPT G0534 used?
Administrative and clinical services coordinating patient care across multiple providers and settings.
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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.