2024 HCPCS Code G2065
Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities
TAGS: principal frequent physician patient condition management lasting recent focus revision development sufficient disease minutes clinical cause comprehensive qualified health requires staff chronic unusually month severity comorbidities medication directed calendar adjustments place hospitalization least complex single
Notice | HCPCS G2065 terminated on December 31, 2021. |
Short Description | Clin mang h risk dx 30 |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Action Effective Date | January 01, 2022 |
HCPCS Code Added Date | January 01, 2020 |
HCPCS Pricing Indicator Code | 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
HCPCS Coverage Issues Manual Reference Section Number | |
HCPCS Type Of Service Code | 1 - Medical care |
HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- G2058 - Ccm add 20min
- G2061 - Qual nonmd est pt 5-10m
- G2062 - Qual nonmd est pt 11-20m
- G2063 - Qual nonmd est pt 21>min
- G2064 - Md mang high risk dx 30
- G2065 - Clin mang h risk dx 30
- G2066 - Inter devc remote 30d
- G2067 - Med assist tx meth wk
- G2068 - Med assist tx bupre oral
- G2069 - Med assist tx inject
- G2070 - Med assist tx implant
- G2071 - Med tx remove implant
- G2072 - Med tx insert/remove imp
- G2073 - Med tx naltrexone
- G2074 - Med assist tx no drug
- G2075 - Med tx meds nos
- G2076 - Intake act w/med exam
- G2077 - Periodic assessment
- G2078 - Take-home meth
- G2079 - Take-hom buprenorphine