HCPCS Code Details - G1011

HCPCS Level II Code
Procedures/Professional Services (Temporary Codes)
HCPCS Code G1011
Description

Long description:
Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program

Short description:
Cdsm qualified nos

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 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, 2020
Date added Added Jan 01, 2020
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 G1000 · Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program

  • HCPCS G1001 · Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program

  • HCPCS G1002 · Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program

  • HCPCS G1003 · Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program

  • HCPCS G1004 · Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program

  • HCPCS G1005 · Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program

  • HCPCS G1006 · Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program

  • HCPCS G1007 · Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program

  • HCPCS G1008 · Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program

  • HCPCS G1009 · Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program

  • HCPCS G1010 · Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program

  • HCPCS G1012 · Clinical decision support mechanism agilemd, as defined by the medicare appropriate use criteria program

  • HCPCS G1013 · Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria program

  • HCPCS G1014 · Clinical decision support mechanism inveniqa semantic answers in medicine, as defined by the medicare appropriate use criteria program

  • HCPCS G1015 · Clinical decision support mechanism reliant medical group, as defined by the medicare appropriate use criteria program


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”