G0537 Risk ascvd tst once pr 12 mo
Also known as: ASCVD risk screening, cardiovascular risk test, heart disease risk assessment
Atherosclerotic cardiovascular disease risk assessment test performed once per 12-month period.
In Plain Language
Heart disease risk test; Cardiovascular risk screening; Stroke risk evaluation
Clinical Context
Risk stratification for atherosclerotic cardiovascular disease using validated tools for primary or secondary prevention.
RVU Breakdown
| Work RVU | 0.18 |
| Total RVU | 0.18 |
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 0.18, this code ranks in the 13th percentile among G Codes codes — 5.4x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0537?
CPT G0537 (Risk ascvd tst once pr 12 mo) is a G Codes code. Atherosclerotic cardiovascular disease risk assessment test performed once per 12-month period.
Who uses CPT code G0537?
CPT G0537 is used by Cardiology, Preventive Medicine, Primary Care. Risk stratification for atherosclerotic cardiovascular disease using validated tools for primary or secondary prevention.
When is CPT G0537 used?
Risk stratification for atherosclerotic cardiovascular disease using validated tools for primary or secondary prevention.
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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.