G9011 Coordinated care fee, risk adjusted maintenance, level 5

Billable / valid for submission HCPCS Release 2026Q3

Short description: Mccd, risk adj, level 5

Version history

Related codes in G90

• G9001 Coordinated care fee, initial rate
• G9002 Coordinated care fee, maintenance rate
• G9003 Coordinated care fee, risk adjusted high, initial
• 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
• G9012 Other specified case management service not elsewhere classified
• G9013 Esrd demo basic bundle level i
• G9014 Esrd demo expanded bundle including venous access and related services
• G9016 Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]
• G9050 Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project)
• G9051 Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged, discussion of treatment options, supervising/coordinating active cancer directed therapy or managing consequences of cancer directed therapy (for use in a medicare-approved demonstration project)
• G9052 Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)
• G9053 Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)
• G9054 Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a medicare-approved demonstration project)
• G9055 Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)

All G90 codes →