HCPCS Code G0538

Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month
Code effective Jan 01, 2025

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G0538 is a valid 2026 HCPCS code meaning Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month or (Ascvd rsk mng clin stf pr mo) for short. HCPCS G0538 has been effective since 01/01/2025 and applies to Medical care.

HCPCS Code Details - G0538

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G0538
Description

Long description:
Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month

Short description:
Ascvd rsk mng clin stf pr mo

HCPCS Pricing indicator 13 - Clinical Lab Fee Schedule - Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code M5D - Specialist - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2025
Date added Added Jan 01, 2025

See also

  • HCPCS G0537 · Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months

  • HCPCS G0539 · Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.