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HCPCS G0570 · Level II · G code

G0570: Care management services for behavioral health conditions, HCPCS Level II G code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for G0570

Medicare payment
$57.78
PFS non-facility, national; facility $38.75
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
MUE
none published
no MUE in the 2026 Q4 tables
OPPS status
SI S
Procedure or service, not discounted when multiple
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 1

TL;DR

G0570 is a Level II code from the G section (procedures and professional services, temporary), in use since 2026: "Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code)". Medicare's October 2026 physician fee schedule pays G0570 $57.78 non-facility and $38.75 facility nationally, from 0.93 work, 0.74 practice-expense and 0.06 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $58.07 at $33.5675. Global period ZZZ (add-on service inside the primary service's global period). 1 active LCD and 1 billing and coding article list G0570 across 4 states: L39853 (Outpatient Psychotherapy), A59723. HCPCS record: BETOS M5D (specialist - other); pricing indicator 13; type of service 1 (medical care). 1 other active code opens with "Care management services for behavioral health conditions"; related codes: G0323, G0560, G0557, G0553.

G0570 descriptor and code status

The October 2026 HCPCS Level II file describes G0570 as “Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code)”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes.

HCPCS file attributes of G0570
FieldValue
Short descriptorCare manage serv, pr cal mo
Added to HCPCS2026-01-01
Last actionN (no maintenance), effective 2026-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G0570

Medicare's October 2026 physician fee schedule pays G0570 $57.78 non-facility and $38.75 facility nationally, from 0.93 work, 0.74 practice-expense and 0.06 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $58.07 at $33.5675. Global period ZZZ (add-on service inside the primary service's global period). The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status A: active: paid separately under the physician fee schedule when covered. Global period ZZZ (add-on service inside the primary service's global period); PC/TC indicator 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for G0570
ComponentNon-facilityFacility
Work RVU0.930.93
Practice expense RVU0.740.17
Malpractice RVU0.060.06
Total RVUs1.731.16
National payment (CF $33.4009)$57.78$38.75
Qualifying APM participant (CF $33.5675)$58.07$38.94
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator S (Procedure or service, not discounted when multiple), APC 5821 (Level 1 Health and Behavior Services), national unadjusted payment $38.28 with a minimum unadjusted copayment of $7.66.

Medically Unlikely Edits for G0570

CMS publishes no MUE for G0570 in the 2026 Q4 practitioner, facility or DME supplier tables. Some MUE values are confidential and applied without publication, so unit limits can still deny; document the quantity furnished on every claim.

The MUE lookup for G0570 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists G0570 in v323r0.

G0570 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check G0570 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0570

1 active Local Coverage Determination and 1 billing and coding article list G0570. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Billing and Coding Articles listing G0570
ArticleTitleContractor(s)Related LCD
A59723Billing and Coding: Outpatient PsychotherapyPalmetto GBAL39853

Denials to expect on G0570

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists G0570

CARC 151 · N362

units exceed what the payer considers medically likely for one date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for G0570 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0570 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS G0570

What does HCPCS code G0570 describe?

"Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code)" (short descriptor "Care manage serv, pr cal mo"), in the G section (procedures and professional services, temporary). Added 2026-01-01.

Is G0570 a CPT code?

No: CMS maintains G0570 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for G0570?

Medicare's October 2026 physician fee schedule pays G0570 $57.78 non-facility and $38.75 facility nationally, from 0.93 work, 0.74 practice-expense and 0.06 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $58.07 at $33.5675. Global period ZZZ (add-on service inside the primary service's global period).

Does Medicare cover G0570?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 1 active LCD and 1 billing and coding article list G0570 across 4 states: L39853 (Outpatient Psychotherapy), A59723.

CMS guidance

The Medicare Learning Network publication that CMS issues on this topic, cited by ICN and publication date:

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.