G0136
Care Mgmt / CounselCMS status: AAdministration of a standardized, evidence-based social determinants of health risk assessment, 5-15 minutes.
Work RVU
0.18
Practice RVU
0.18
Malpractice RVU
0.01
Total RVU
0.37
2026 Medicare payment
$12.36
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop G0136 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Once per year per beneficiary. Requires a standardized SDOH screening tool.
Documentation checklist
- ✓Name of validated tool (PRAPARE, Health Leads, AHC HRSN, etc.).
- ✓Results documented in chart.
- ✓Action plan or referral when positive.
Common pitfalls
- !Not using a standardized tool — narrative SDOH notes don't qualify.
Common ICD-10 pairings
Z55Z56Z59Z60
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.