Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

G0513 - G0514 Prolonged Preventive Services

G0513

Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)

short

Prolong prev svcs, first 30m

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	1.17	0.48	0.59	0.09	1.74	1.85	ZZZ

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

G0514

Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)

short

Prolong prev svcs, addl 30m

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	1.17	0.49	0.59	0.08	1.74	1.84	ZZZ

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	1 Line Edit	Clinical: CMS Workgroup
OPH	1.0	1 Line Edit	Clinical: CMS Workgroup