2025 HCPCS Code G9038

Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care

TAGS: benefit joint condition revised furnishing exacerbation communication specialist comprehensive clinicians ongoing stabilization acute coordination taking existing partnership diagnosis expected least monitored
Short DescriptionCo-management services
HCPCS Action Code A - Add procedure or modifier code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date July 01, 2024
HCPCS Action Effective Date July 01, 2024
HCPCS Pricing Indicator Code 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Type Of Service Code 1 - Medical care
HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number

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