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HCPCS Level II/G-Codes/G1026

G1026 HCPCS Level II Code: 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

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, 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

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 is a HCPCS Level II code (G1026). CMS assigns coverage code C — Carrier judgment. Short description: Pt hemo > 3mo.

Change history

  • 2022-01-01
    Added to the code set
    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

Contextual Map

Every relationship of G1026 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 (28)

  • G1000 — Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program [Sibling]
  • G1001 — Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program [Sibling]
  • G1002 — Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program [Sibling]
  • G1003 — Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program [Sibling]
  • G1004 — Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program [Sibling]
  • G1005 — Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program [Sibling]
  • G1006 — Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program [Sibling]
  • G1007 — Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program [Sibling]
  • and 20 more

Change history

  • 2022-01-01 — Added to the code set [Change history]

Nearest Codes in This Family

Official HCPCS Level II classifications closest to G1026 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
  • G1025 — Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the 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