2025 HCPCS Code G2064

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 with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities

TAGS: principal frequent physician patient condition management lasting recent focus revision development sufficient minutes cause comprehensive qualified health requires professional chronic unusually month severity comorbidities medication calendar adjustments place hospitalization least complex single
NoticeHCPCS G2064 terminated on December 31, 2021.
Short DescriptionMd mang high risk dx 30
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 2020
HCPCS Action Effective Date January 01, 2022
HCPCS Pricing Indicator Code 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Type Of Service Code 1 - Medical care
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number

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