HCPCS G0511 reports chronic care management and/or behavioral health integration services of at least 20 minutes per calendar month, used in Rural Health Clinic (RHC) and FQHC settings.
When to use G0511
Use G0511 in RHC/FQHC settings to report general or behavioral health integration/CCM services. It is the RHC/FQHC counterpart to the CPT care management codes.
How to bill it
Report once per calendar month when at least 20 minutes of qualifying care management or behavioral health integration is delivered, following RHC/FQHC billing rules.
Common pitfalls
- Using G0511 outside RHC/FQHC settings.
- Double-billing with the CPT CCM codes in the same month.
Frequently asked questions
Where is G0511 used?
G0511 is specific to Rural Health Clinic and FQHC settings for care management and behavioral health integration.
How does G0511 relate to 99490?
Both cover at least 20 minutes per month of care management, but G0511 is the RHC/FQHC code while 99490 is the general CPT code.