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 Description | Co-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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