SDOH Risk Assessment
The 2024 PFS final rule also established HCPCS code G0136 for administering an SDOH Risk Assessment in an evaluation and management visit, behavioral health office visit, or annual wellness visit. G0136 also reports SDOHs in a patient’s medical record using appropriate ICD-10-CM Z codes.
CMS allows payment for 30 minutes of SDOH risk assessment per year, or 15 minutes every 6 months. G0136 is used to bill 5-15 minutes of work.