HCPCS Code Details - G9011

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9011
Description

Long description:
Coordinated care fee, risk adjusted maintenance, level 5

Short description:
Mccd, risk adj, level 5

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code D - Special coverage instructions apply
BETOS2 code Y2 - Other - non-Medicare fee schedule
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Oct 01, 2001
Date added Added Oct 01, 2001
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS G9001 · Coordinated care fee, initial rate

  • HCPCS G9002 · Coordinated care fee, maintenance rate

  • HCPCS G9003 · Coordinated care fee, risk adjusted high, initial

  • HCPCS G9004 · Coordinated care fee, risk adjusted low, initial

  • HCPCS G9005 · Coordinated care fee, risk adjusted maintenance

  • HCPCS G9006 · Coordinated care fee, home monitoring

  • HCPCS G9007 · Coordinated care fee, scheduled team conference

  • HCPCS G9008 · Coordinated care fee, physician coordinated care oversight services

  • HCPCS G9009 · Coordinated care fee, risk adjusted maintenance, level 3

  • HCPCS G9010 · Coordinated care fee, risk adjusted maintenance, level 4

  • HCPCS G9012 · Other specified case management service not elsewhere classified


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”