Skip to main content
HCPCS Level II/G-Codes/G1006

G1006 HCPCS Level II Code: Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program

Medicare Coverage & Payment

  • 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, 2021
  • Terminated: December 31, 2020

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.

Official Registry Overview & Definition

Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program is a HCPCS Level II code (G1006). CMS assigns coverage code C — Carrier judgment. CMS terminated this code effective December 31, 2020; it cannot be reported for later dates of service. Short description: Cdsm test approp.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G1006 in its code family, with their registry titles.

  • G1001 — Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program
  • G1002 — Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program
  • G1003 — Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program
  • G1004 — Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program
  • G1005 — Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program
  • G1007 — Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program
  • G1008 — Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program
  • G1009 — Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program
  • G1010 — Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program
  • G1011 — Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program