G0538
Screening / CounselCMS status: AASCVD risk management, clinical staff time per calendar month.
Work RVU
0.18
Practice RVU
0.32
Malpractice RVU
0.01
Total RVU
0.51
2026 Medicare payment
$17.03
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop G0538 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Ongoing ASCVD risk management requiring clinical staff coordination, per calendar month.
Documentation checklist
- ✓Initial G0537 (annual risk assessment) on file.
- ✓Monthly clinical staff time for risk-factor management.
- ✓Care plan updates documented.
Common pitfalls
- !Cannot bill without prior G0537 baseline assessment.
- !Time must be tracked monthly.
Common ICD-10 pairings
I25.10Z13.6
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.