HCPCS Code G1025

Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
Code effective Jan 01, 2022

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G1025 is a valid 2026 HCPCS code meaning Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month or (Pt mnth 1 mcp prov) for short. HCPCS G1025 has been effective since 01/01/2022 and applies to Medical care.

HCPCS Code Details - G1025

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G1025
Description

Long description:
Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month

Short description:
Pt mnth 1 mcp prov

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 C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2022
Date added Added Jan 01, 2022

See also

  • HCPCS G1024 · Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program

  • HCPCS G1026 · The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month

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”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.