HCPCS Code Section: HCPCS G Codes

Moderate (45 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary’s home, domiciliary, rest home, …

Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program Short Description: Cdsm ndsc Coverage Code: Carrier judgment Action Code: Add procedure …

Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health …

Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month …

Qualified nonphysician qualified healthcare professional assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 21 or more minutes Short Description: Qual …

Qualified nonphysician healthcare professional online assessment service, for an established patient, for up to seven days, cumulative time during the 7 days; 11-20 minutes Short Description: Qual nonmd est …

Qualified nonphysician healthcare professional online assessment, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes Short Description: Qual nonmd est pt …

Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition …

A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place) Short Description: Benef refuses service, mod Coverage Code: Carrier …

Health care practitioners rendering treatment in place (tip) Short Description: Hea care pract tx in place Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: …