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HCPCS codes / G / G0511

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

Code type
HCPCS Level II
Coverage
Special coverage instructions
BETOS category
M5D
Pricing indicator
13
Effective date
20260101
CMS processing noteSERVICES FOR RURAL HEALTH CLINIC OR FEDERALLY QUALIFIED HEALTH CENTER (RHC/FQHC) ONLY.
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.