G1025 – Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month

Long description

Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month

Short description

Pt mnth 1 mcp prov

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2022

Last change

January 1, 2022 – No change

Nearby G codes

• G1017 – Clinical decision support mechanism healthhelp, as defined by the medicare appropriate use criteria program
• G1018 – Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program
• G1019 – Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria program
• G1020 – Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria program
• G1021 – Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program
• G1022 – Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria program
• G1023 – Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria program
• G1024 – Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program
• G1026 – 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
• G1027 – 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
• G1028 – 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
• G2000 – 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
• G2001 – 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.)
• G2002 – 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.)
• G2003 – 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.)
• 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.)