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HCPCS Level II/G-Codes/G1025

G1025 HCPCS Level II Code: Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month

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, 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.

Official Registry Overview & Definition

Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month is a HCPCS Level II code (G1025) for a Medicare-covered supply, service, or procedure. Short description: Pt mnth 1 mcp prov.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G1025 in its code family, with their registry titles.

  • G1018 — Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program
  • G1019 — Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria program
  • G1020 — Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria program
  • G1021 — Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program
  • G1022 — Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria program
  • G1023 — Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria program
  • G1024 — Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program
  • G1026 — The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month
  • G1027 — The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months
  • G1028 — Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure