G9003 – Coordinated care fee, risk adjusted high, initial
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9003
- Long description
- Coordinated care fee, risk adjusted high, initial
- Short description
- Mccd, risk adj hi, initial
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
DSpecial coverage instructions apply- BETOS category
Y2Other - Non-Medicare fee schedule- Added
- October 1, 2000
- Last change
- October 1, 2000 – No change
Frequently asked questions
What is HCPCS code G9003?
G9003 is a HCPCS Level II code for coordinated care fee, risk adjusted high, initial.
Does Medicare cover G9003?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G8994 – Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
- G8995 – Other physical or occupational therapy subsequent functional limitation, discharge status, at discharge from therapy or to end reporting
- G8996 – Swallowing functional limitation, current status at therapy episode outset and at reporting intervals
- G8997 – Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting
- G8998 – Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting
- G8999 – Motor speech functional limitation, current status at therapy episode outset and at reporting intervals
- G9001 – Coordinated care fee, initial rate
- G9002 – Coordinated care fee, maintenance rate
- G9004 – Coordinated care fee, risk adjusted low, initial
- G9005 – Coordinated care fee, risk adjusted maintenance
- G9006 – Coordinated care fee, home monitoring
- G9007 – Coordinated care fee, scheduled team conference
- G9008 – Coordinated care fee, physician coordinated care oversight services
- G9009 – Coordinated care fee, risk adjusted maintenance, level 3
- G9010 – Coordinated care fee, risk adjusted maintenance, level 4
- G9011 – Coordinated care fee, risk adjusted maintenance, level 5
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.