G0535 Pt navigat svs direct/ref
Also known as: patient navigation, patient advocate service, health navigation
Patient navigation service providing direct assistance and referral support for accessing health care services.
In Plain Language
Patient guide through healthcare system; Health care assistance service; Patient help with medical appointments
Clinical Context
Services helping patients access and navigate health care system, including appointment scheduling, insurance guidance, and care pathway assistance.
RVU Information
CPT G0535 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 G0535?
CPT G0535 (Pt navigat svs direct/ref) is a G Codes code. Patient navigation service providing direct assistance and referral support for accessing health care services.
Who uses CPT code G0535?
CPT G0535 is used by Care Management, Patient Advocacy, Social Work. Services helping patients access and navigate health care system, including appointment scheduling, insurance guidance, and care pathway assistance.
When is CPT G0535 used?
Services helping patients access and navigate health care system, including appointment scheduling, insurance guidance, and care pathway assistance.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.