Screening / Counsel · CMS status A
G0538
Ascvd rsk mng clin stf pr mo
ASCVD risk management, clinical staff time per calendar month.
Work RVU
0.18
2026 Medicare pays
$17.03
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.18 + Practice 0.32 + Malpractice 0.01 = 0.51 total
Work (your effort)Practice expenseMalpractice
Billing guidance for G0538 is locked
- When to use it: the exact clinical situations that support billing G0538
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get G0538 downcoded or denied
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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.