G0538 Ascvd rsk mng clin stf pr mo
Also known as: ASCVD risk management, cardiovascular risk management, heart disease management
Atherosclerotic cardiovascular disease risk management by clinical staff per month for ongoing risk reduction.
In Plain Language
Heart disease prevention program; Cardiovascular risk management; Ongoing heart health management
Clinical Context
Clinical staff-delivered cardiovascular risk management including medication review, lifestyle counseling, and risk factor monitoring.
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 G0538?
CPT G0538 (Ascvd rsk mng clin stf pr mo) is a G Codes code. Atherosclerotic cardiovascular disease risk management by clinical staff per month for ongoing risk reduction.
Who uses CPT code G0538?
CPT G0538 is used by Cardiology, Preventive Medicine, Primary Care. Clinical staff-delivered cardiovascular risk management including medication review, lifestyle counseling, and risk factor monitoring.
When is CPT G0538 used?
Clinical staff-delivered cardiovascular risk management including medication review, lifestyle counseling, and risk factor monitoring.
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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.