Showing codes G1004 (Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program) — G2004 (Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.))

G1004 - Cdsm ndsc
Long description: Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1005 - Cdsm nia
Long description: Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20210101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1006 - Cdsm test approp
Long description: Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20210101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1007 - Cdsm aim
Long description: Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1008 - Cdsm cranberry pk
Long description: Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1009 - Cdsm sage health
Long description: Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20220401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1010 - Cdsm stanson
Long description: Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1011 - Cdsm qualified nos
Long description: Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program
Code added date: 20200101.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1012 - Cdsm agilemd
Long description: Clinical decision support mechanism agilemd, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1013 - Cdsm evidencecare
Long description: Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1014 - Cdsm inveniqa
Long description: Clinical decision support mechanism inveniqa semantic answers in medicine, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1015 - Cdsm reliant
Long description: Clinical decision support mechanism reliant medical group, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1016 - Cdsm speed of care
Long description: Clinical decision support mechanism speed of care, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1017 - Cdsm healthhelp
Long description: Clinical decision support mechanism healthhelp, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1018 - Cdsm infinx
Long description: Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1019 - Cdsm logicnets
Long description: Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria program
Code added date: 20200401.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1020 - Cdsm curbside
Long description: Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria program
Code added date: 20201001.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1021 - Cdsm ehealthline
Long description: Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program
Code added date: 20201001.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1022 - Cdsm intermountain
Long description: Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria program
Code added date: 20201001.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1023 - Cdsm persivia
Long description: Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria program
Code added date: 20201001.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1024 - Cdsm radrite
Long description: Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program
Code added date: 20220101.
Code effective date: 20250101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1025 - Pt mnth 1 mcp prov
Long description: Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
Code added date: 20220101.
Code effective date: 20220101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1026 - Pt hemo > 3mo
Long description: The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month
Code added date: 20220101.
Code effective date: 20220101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1027 - Pt hemo < 3mo
Long description: The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months
Code added date: 20220101.
Code effective date: 20220101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G1028 - Take home supply 8mg per 0.1
Long description: Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
Code added date: 20220101.
Code effective date: 20220101.
Pricing Indicator Code(s): 11 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G2 - Urr reading of 60 to 64.9
Long description: Most recent urr reading of 60 to 64.9
Code added date: 19970101.
Code effective date: 19980101.
Coverage Code: C (A code denoting Medicare coverage status).
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G2000 - Blinded conv. tx mdd clin tr
Long description: Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session
Code added date: 20180801.
Code effective date: 20180801.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G2001 - Post d/c h vst new pt 20 m
Long description: Brief (20 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 13 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G2002 - Post-d/c h vst new pt 30 m
Long description: Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 13 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G2003 - Post-d/c h vst new pt 45 m
Long description: Moderate (45 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 13 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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G2004 - Post-d/c h vst new pt 60 m
Long description: Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 13 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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