G0514 Prolong prev svcs, addl 30m

Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for G0514

Physician Fee Schedule (CY 2026, RVU26D)

Status A: active, paid separately under the PFS if covered. National amounts: non-facility $64.80, facility $50.77 (total RVUs 1.94 / 1.52 × $33.4009 conversion factor). Work RVU 1.17, practice expense RVU 0.70 non-facility and 0.28 facility, malpractice RVU 0.07. Global period ZZZ. Qualifying APM participants are paid at a $33.5675 conversion factor.

Payer policies and prior authorization for G0514

Payer coverage policies that name G0514

G0514 appears in 1 coverage policy from Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
Premera Blue CrossPreventive Care
Procedure Code(s) | Comments
covered if criteria are metSep 21, 2026payer document

Medicaid fee-for-service

  • IN: $46.03 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • LA: $55.31 (professional), effective Sep 8, 2023
  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.