G0556 Adv prim care management lvl 1
Also known as: primary care management level 1, advanced primary care level 1, APM level 1
Advanced primary care management service at level 1 complexity for care coordination.
In Plain Language
Basic advanced primary care; Level 1 care management; Enhanced primary care basic
Clinical Context
Moderate complexity primary care management with care coordination and monitoring.
RVU Breakdown
| Work RVU | 0.25 |
| Total RVU | 0.25 |
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 0.25, this code ranks in the 19th percentile among G Codes codes — 3.9x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0556?
CPT G0556 (Adv prim care management lvl 1) is a G Codes code. Advanced primary care management service at level 1 complexity for care coordination.
Who uses CPT code G0556?
CPT G0556 is used by Primary Care, Care Management, Family Medicine. Moderate complexity primary care management with care coordination and monitoring.
When is CPT G0556 used?
Moderate complexity primary care management with care coordination and 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.