G0558 Adv prim care management lvl 3
Also known as: primary care management level 3, advanced primary care level 3, APM level 3
Advanced primary care management service at level 3 complexity for care coordination.
In Plain Language
Complex advanced primary care; Level 3 care management; High-complexity primary care
Clinical Context
High-complexity primary care management with extensive care coordination for multiple chronic diseases.
RVU Breakdown
| Work RVU | 1.67 |
| Total RVU | 1.67 |
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 1.67, this code ranks in the 71st percentile among G Codes codes — 1.7x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0558?
CPT G0558 (Adv prim care management lvl 3) is a G Codes code. Advanced primary care management service at level 3 complexity for care coordination.
Who uses CPT code G0558?
CPT G0558 is used by Primary Care, Care Management, Family Medicine. High-complexity primary care management with extensive care coordination for multiple chronic diseases.
When is CPT G0558 used?
High-complexity primary care management with extensive care coordination for multiple chronic diseases.
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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.