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HCPCS Level II/G-Codes/G1011

G1011 HCPCS Level II Code: Clinical decision support mechanism, qualified tool not otherwise specified, 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
  • Effective: January 1, 2025
  • Terminated: December 31, 2024

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, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program is a HCPCS Level II code (G1011) for a Medicare-covered supply, service, or procedure. Short description: Cdsm qualified nos.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G1011 in its code family, with their registry titles.

  • G1006 — Clinical decision support mechanism test appropriate, 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
  • G1012 — Clinical decision support mechanism agilemd, as defined by the medicare appropriate use criteria program
  • G1013 — Clinical decision support mechanism evidencecare imagingcare, as defined by the medicare appropriate use criteria program
  • G1014 — Clinical decision support mechanism inveniqa semantic answers in medicine, as defined by the medicare appropriate use criteria program
  • G1015 — Clinical decision support mechanism reliant medical group, as defined by the medicare appropriate use criteria program
  • G1016 — Clinical decision support mechanism speed of care, as defined by the medicare appropriate use criteria program