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G0557 Adv prim care management lvl 2

G Codes

Also known as: primary care management level 2, advanced primary care level 2, APM level 2

Advanced primary care management service at level 2 complexity for care coordination.

In Plain Language

Moderate advanced primary care; Level 2 care management; Moderate complexity primary care

Clinical Context

Moderate-to-high complexity primary care management with intensive care coordination.

RVU Breakdown

Work RVU0.77
Total RVU0.77

Est. Medicare Payment

$25.72

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 0.77, this code ranks in the 43rd percentile among G Codes codes — 1.3x below the median (0.97). The highest wRVU in this category is 20.41.

Specialties

Primary CareCare ManagementFamily Medicine

Frequently Asked Questions

What is CPT code G0557?

CPT G0557 (Adv prim care management lvl 2) is a G Codes code. Advanced primary care management service at level 2 complexity for care coordination.

Who uses CPT code G0557?

CPT G0557 is used by Primary Care, Care Management, Family Medicine. Moderate-to-high complexity primary care management with intensive care coordination.

When is CPT G0557 used?

Moderate-to-high complexity primary care management with intensive care coordination.

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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.