2024 HCPCS Code G9490
Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code
TAGS: covered innovation performed necessarily billed patient management activities ensuring assessment period staff limited functional individual compliance performance visit connections community medication considered transitional center beneficiary clinical
Short Description | Cmmi mod home visit |
Product Note | 0206 |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Action Code | N - No maintenance for this code |
HCPCS Action Effective Date | January 01, 2018 |
HCPCS Code Added Date | April 01, 2016 |
HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Multiple Pricing Indicator Code | 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
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
- G9888 - 5% wl maintnd from bsline wt
- G9890 - Em bridge payment
- G9891 - Em session reporting
- G9892 - Doc pt rsn no dil mac exam
- G9893 - No mac exam
- G9894 - Adr dep thrpy prescribed
- G9895 - Doc med rsn no adr dep thrpy
- G9896 - Doc pt rsn no adr dep thrpy
- G9897 - Pt nt prsc adr dep thrpy rng
- G9898 - Pt 66+ snp or ltc pos > 90d
- G9899 - Scrn mam perf rslts doc
- G9900 - Scrn mam perf rslts not doc
- G9901 - Pt 66+ snp or ltc pos > 90d
- G9902 - Pt scrn tbco and id as user
- G9903 - Pt scrn tbco id as non user
- G9904 - Doc med rsn no tbco scrn
- G9905 - No pt tbco scrn rng
- G9906 - Pt recv tbco cess interv
- G9907 - Doc med rsn no tbco interv
- G9908 - No pt tbco cess interv rng