G500

PDF page 456 / J42

G500     - month in which insulin injections (2 or more daily) or insulin
             by pump is initiated;
              or
             month in which initial assessment by a specialist of a
             diabetic patient treated with insulin injections (2 or more
             daily) or insulin by pump occurs, 1 or more contacts .........                   31.80
  G514   - each additional month, 1 to 3 contacts ............................                10.60
  G520   - each additional month, 4 or more contacts ......................                   21.20
     Payment rules:
     1. G500 is limited to a maximum of two per patient per lifetime.
       2. G500, G514 and G520 are only eligible for payment when rendered by the physician most
         responsible for the patient's diabetes care or by a physician substituting for that physician
         ("the substitute physician").
       3. The clinical decision(s) pertaining to the medical advice, direction or information provided
         must be formulated personally by the physician or substitute physician.
       4. A contact rendered on the same day as a consultation or assessment by the same physician
         to the same patient does not constitute a contact for the purpose of G500, G514 or G520.
       5. G500, G514 and G520 are not eligible for payment for reviewing laboratory reports, patient
         created reports, or for communicating results to a patient when no change in the frequency or
         dose of insulin therapy is required.
       6. Only one of G500, G514 and G520 is eligible for payment per patient per physician per
         month.
       Medical record requirements:
       G500/G514/G520 is only eligible for payment when a dated summary of each contact is
       recorded in the patient's permanent medical record.

Master, record 2211. Record Layout PDF, page 1.

G50020250401999999990000031800000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.