HCPCS Code 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)
Code effective Jan 01, 2007

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G9057 is a valid 2026 HCPCS code meaning 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) or (Onc pract mgmt differs trial) for short. HCPCS G9057 has been effective since 01/01/2007 and applies to Medical care.

HCPCS Code Details - G9057
HCPCS Level II Code Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code	`G9057`
Description	Long description: 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) Short description: Onc pract mgmt differs trial
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 G9056 · Oncology; practice guidelines; management adheres to guidelines (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”

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 6/23/2026

HCPCS Code G9057

HCPCS Code Details - G9057

See also

HCPCS G9056 · Oncology; practice guidelines; management adheres to guidelines (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)