G0053 HCPCS Level II Code: Advancing rheumatology patient care mips value pathways
Medicare Coverage & Payment
- CMS short descriptor: Adv rheum pt care mvp
- Medicare coverage: Carrier judgment (CMS coverage code C)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2022
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Contextual Map
Every relationship of G0053 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- G0033 — Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines[Sibling]— CMS HCPCS Level II code set
- G0034 — Patients receiving palliative care during the measurement period[Sibling]— CMS HCPCS Level II code set
- G0035 — Patient has any emergency department encounter during the performance period with place of service indicator 23[Sibling]— CMS HCPCS Level II code set
- G0036 — Patient or care partner decline assessment[Sibling]— CMS HCPCS Level II code set
- G0037 — On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available[Sibling]— CMS HCPCS Level II code set
- G0038 — Clinician determines patient does not require referral[Sibling]— CMS HCPCS Level II code set
- G0039 — Patient not referred, reason not otherwise specified[Sibling]— CMS HCPCS Level II code set
- G0040 — Patient already receiving physical/occupational/speech/recreational therapy during the measurement period[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2022 — Added to the code set [Change history]— CMS release files (code change ledger)
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — July 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- January 1, 2022Added to the code setAdvancing rheumatology patient care mips value pathways
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G0053 in its code family, with their registry titles.
- G0048 — Patients who receive palliative care services any time during the intake period through the end of the measurement year
- G0049 — With maintenance hemodialysis (in-center and home hd) for the complete reporting month
- G0050 — Patients with a catheter that have limited life expectancy
- G0051 — Patients under hospice care in the current reporting month
- G0052 — Patients on peritoneal dialysis for any portion of the reporting month
- G0054 — Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways
- G0055 — Advancing care for heart disease mips value pathways
- G0056 — Optimizing chronic disease management mips value pathways
- G0057 — Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways
- G0058 — Improving care for lower extremity joint repair mips value pathways