G0569
Subs psych care mng, subs mo
Code typeAdd-on
Paid withContractor-defined
Payment statusActive (A)
Global periodAdd-on code
Add-On Payment Increment
What G0569 adds per unit to the primary it is billed with — not a total, since this code is never payable on its own.
Line
Qty
Global fee
Pro fee
Add-onG0569Subs psych care mng, subs mo
1
$145.96
$89.85
RVU Breakdown
Component
Office
Facility
Work
2.05
2.05
Practice expense
2.17
0.49
Malpractice
0.15
0.15
Total RVU
4.37
2.69
Payment Policy & Modifiers
Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66Prof / tech split