HCPCS Code G9056

Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)

Procedures/Professional Services (Temporary Codes)

G9056 is a valid 2024 HCPCS code for Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project) or just “Onc prac mgmt adheres guide” for short, used in Medical care.

HCPCS Code Details - G9056

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G9056
Description

Long description:
Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project)

Short description:
Onc prac mgmt adheres guide

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 I - Not payable by Medicare
BETOS2 code P7B - Oncology - other
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2007
Date added Added Jan 01, 2006
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 G9055 · Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a medicare-approved demonstration project)

  • HCPCS G9057 · Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved demonstration project)

  • HCPCS G9058 · Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project)

  • HCPCS G9059 · Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a medicare-approved demonstration project)

  • HCPCS G9060 · Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a medicare-approved demonstration project)

  • HCPCS G9061 · Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project)

  • HCPCS G9062 · Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project)

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”