G4005 – Family medicine mips specialty set

Long description

Family medicine mips specialty set

Short description

Family medicine ss

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

• G3001 – Administration and supply of tositumomab, 450 mg
• G3002 – Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.)
• G3003 – Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)
• G4000 – Dermatology mips specialty set
• G4001 – Diagnostic radiology mips specialty set
• G4002 – Electrophysiology cardiac specialist mips specialty set
• G4003 – Emergency medicine mips specialty set
• G4004 – Endocrinology mips specialty set
• G4006 – Gastro-enterology mips specialty set
• G4007 – General surgery mips specialty set
• G4008 – Geriatrics mips specialty set
• G4009 – Hospitalists mips specialty set
• G4010 – Infectious disease mips specialty set
• G4011 – Internal medicine mips specialty set
• G4012 – Interventional radiology mips specialty set
• G4013 – Mental/behavioral and psychiatry mips specialty set