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
- G8949 - Doc pt reas on counsel diet
- G8950 - Pre-htn or htn doc, f/u indc
- G8951 - Pre-htn/htn doc, no pt f/u
- G8952 - Pre-htn/htn, no f/u, not gvn
- G8953 - Oncology mg qual act perform
- G8955 - Most recent assess vol mgmt
- G8956 - Pt rcv hedia outpt dyls fac
- G8957 - Pt no hedia in outpt fac
- G8958 - Assess vol mgmt not doc
- G8959 - Clin tx mdd comm to tx clin
- G8960 - Clin tx mdd not comm
- G8961 - Csit lowrisk surg pts preop
- G8962 - Csit on pt any reas 30 days
- G8963 - Csi per asx pt w/pci 2 yrs
- G8964 - Csi any other than pci 2 yr
- G8965 - Csit perf on low chd rsk
- G8966 - Csit perf sx or high chd rsk
- G8967 - Warf or other fda drug presc
- G8968 - Doc med not presb
- G8969 - Doc pt rsn no presc warf/fda