Reimbursement
$16.37
Threshold
N/A
2026 Status
Active
What is CPT Code G0136?
CPT G0136 is defined as: Administration of a standardized, evidence-based Social Determinants of Health (SDOH) risk assessment, 5-15 minutes, not more often than every 6 months.
This code is primarily used for E/M services. It falls under the category of Risk Assessment / Preventive and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.
2026 RVU Components
Relative Value Units (Non-Facility)
Work RVU
0.18
Physician Effort
PE (Non-Fac)
0.3
Practice Expense
Malpractice
0.01
Risk Factor
Total RVU
0.49
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
strategic integration
G0136 is a prerequisite for high-reimbursement care coordination codes in 2026 (e.g., G0019/G0022 Community Health Integration, although those are advanced targets).
efficiency shield
Protected from the -2.5% productivity adjustment (Clinical risk assessment).
Administrative Framework
Place of Service
Operational Requirements
Standard CMS E/M requirements apply.
Compliance Checklist
Audit Defense
tool evidence
The medical record must include the completed tool or a detailed summary of its results.
follow up links
Show how the SDOH results informed the overall care plan or care management goals.
Common Clinical Scenarios
No clinical examples provided.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Frequently Asked Questions
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