Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

G0511 - G0512 Rural Health Clinic - Management and Care

G0511

Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month

short

Ccm/bhi by rhc/fqhc 20min mo

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.92	0.87	0.87	0.06	1.85	1.85	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction
OPH	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction

G0512

Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month

short

Cocm by rhc/fqhc 60 min mo

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	1.62	2.21	2.21	0.1	3.93	3.93	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction
OPH	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction