G1003 – Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG1003
- Long description
- Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program
- Short description
- Cdsm medicalis
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2020
- Last change
- January 1, 2025 – No change
- Termination date
- December 31, 2024
Frequently asked questions
What is HCPCS code G1003?
G1003 is a HCPCS Level II code for clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program. It was discontinued on December 31, 2024.
Does Medicare cover G1003?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G0918 – Satisfaction with care not achieved within 90 days following cataract surgery
- G0919 – Influenza immunization ordered or recommended (to be given at alternate location or alternate provider); vaccine not available at time of visit
- G0920 – Type, anatomic location, and activity all documented
- G0921 – Documentation of patient reason(s) for not being able to assess (e.g., patient refuses endoscopic and/or radiologic assessment)
- G0922 – No documentation of disease type, anatomic location, and activity, reason not given
- G1000 – Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program
- G1001 – Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program
- G1002 – Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program
- G1004 – Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program
- G1005 – Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program
- G1006 – Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program
- G1007 – Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program
- G1008 – Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program
- G1009 – Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program
- G1010 – Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program
- G1011 – Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.