HCPCS G9038 Code. Co-management services


Table of content for "Co-management services" (HCPCS G9038)

General information on the “G9038” code

HCPCS Code: G9038
Long Description: 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
Short Description: Co-management services

Original information is taken from G9038 page

Pricing indicators

Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
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')

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): Z2 – Undefined codes
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20240701
Code Effective Date: 20240701
Action Code: N – No maintenance for this code