S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan
Billable / valid for submission HCPCS Release 2026Q3
Short description: Medical home, maintenance
Version history
| Release | Valid from | Valid to | Description | Billable |
|---|---|---|---|---|
| 2026Q3 | 2026-07-01 | current | Medical home program, comprehensive care coordination and planning, maintenance of plan | yes |
Related codes in S02
- S0201 Partial hospitalization services, less than 24 hours, per diem
- S0207 Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
- S0208 Paramedic intercept, hospital-based als service (non-voluntary), non-transport
- S0209 Wheelchair van, mileage, per mile
- S0215 Non-emergency transportation; mileage, per mile
- S0220 Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes
- S0221 Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes
- S0250 Comprehensive geriatric assessment and treatment planning performed by assessment team
- S0255 Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff
- S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)
- S0260 History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
- S0265 Genetic counseling, under physician supervision, each 15 minutes
- S0270 Physician management of patient home care, standard monthly case rate (per 30 days)
- S0271 Physician management of patient home care, hospice monthly case rate (per 30 days)
- S0272 Physician management of patient home care, episodic care monthly case rate (per 30 days)
- S0273 Physician visit at member's home, outside of a capitation arrangement
- S0274 Nurse practitioner visit at member's home, outside of a capitation arrangement
- S0280 Medical home program, comprehensive care coordination and planning, initial plan
- S0285 Colonoscopy consultation performed prior to a screening colonoscopy procedure