HCPCS Code G0136: Standardized Social Determinants of Health Risk Assessment Tool, 5-15 Minutes

Yes, HCPCS code G0136 (Social Determinants of Health risk assessment) can be billed as an additional service on the same date of service as G0439 (subsequent Annual Wellness Visit). When billed together, G0136 should include modifier -33 to indicate it is a preventive service, which waives the patient coinsurance and deductible.

Yes, Medicare covers G0136 when performed as part of a preventive service like the Annual Wellness Visit (G0438 or G0439). When done alone outside of AWV or other preventive visits, it is subject to cost-sharing (patient copay and deductible). The service involves an evidence-based SDOH risk assessment and can be billed once per 12-month period.

There is no specific CPT code solely for Social Determinants of Health (SDOH) screening; however, HCPCS code G0136 is used for SDOH risk assessments in the Medicare program.