G9004 – Coordinated care fee, risk adjusted low, initial

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Special coverage instructions apply

HCPCS codeG9004
Long description
Coordinated care fee, risk adjusted low, initial
Short description
Mccd, risk adj lo, initial
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
D Special coverage instructions apply
BETOS category
Y2 Other - Non-Medicare fee schedule
Added
October 1, 2000
Last change
October 1, 2000 – No change

Frequently asked questions

What is HCPCS code G9004?

G9004 is a HCPCS Level II code for coordinated care fee, risk adjusted low, initial.

Does Medicare cover G9004?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.