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G0536 Peer recover support svs

G Codes

Also known as: peer support service, peer recovery coach, peer counseling

Peer recovery support service using trained individuals with lived experience of substance use disorder recovery.

In Plain Language

Support from someone in recovery; Peer counseling for addiction; Recovery buddy service

Clinical Context

Professional peer support services provided by individuals with personal recovery experience in substance use disorder treatment.

RVU Information

CPT G0536 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

Addiction MedicineMental HealthRecovery Services

Frequently Asked Questions

What is CPT code G0536?

CPT G0536 (Peer recover support svs) is a G Codes code. Peer recovery support service using trained individuals with lived experience of substance use disorder recovery.

Who uses CPT code G0536?

CPT G0536 is used by Addiction Medicine, Mental Health, Recovery Services. Professional peer support services provided by individuals with personal recovery experience in substance use disorder treatment.

When is CPT G0536 used?

Professional peer support services provided by individuals with personal recovery experience in substance use disorder treatment.

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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.