G9004 HCPCS Level II Code: Coordinated care fee, risk adjusted low, initial
Medicare Coverage & Payment
- CMS short descriptor: Mccd, risk adj lo, initial
- Medicare coverage: Special coverage instructions apply (CMS coverage code D)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Y2 — Other - Non-Medicare fee schedule
- Last CMS action effective: October 1, 2000
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 G9004 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)
- G9001 — Coordinated care fee, initial rate[Sibling]— CMS HCPCS Level II code set
- G9002 — Coordinated care fee, maintenance rate[Sibling]— CMS HCPCS Level II code set
- G9003 — Coordinated care fee, risk adjusted high, initial[Sibling]— CMS HCPCS Level II code set
- G9005 — Coordinated care fee, risk adjusted maintenance[Sibling]— CMS HCPCS Level II code set
- G9006 — Coordinated care fee, home monitoring[Sibling]— CMS HCPCS Level II code set
- G9007 — Coordinated care fee, scheduled team conference[Sibling]— CMS HCPCS Level II code set
- G9008 — Coordinated care fee, physician coordinated care oversight services[Sibling]— CMS HCPCS Level II code set
- G9009 — Coordinated care fee, risk adjusted maintenance, level 3[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- October 1, 2000 — 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
- October 1, 2000Added to the code setCoordinated care fee, risk adjusted low, initial
Nearest Codes in This Family
Official HCPCS Level II classifications closest to G9004 in its code family, with their registry titles.
- G9001 — Coordinated care fee, initial rate
- G9002 — Coordinated care fee, maintenance rate
- G9003 — Coordinated care fee, risk adjusted high, initial
- G9005 — Coordinated care fee, risk adjusted maintenance
- G9006 — Coordinated care fee, home monitoring
- G9007 — Coordinated care fee, scheduled team conference
- G9008 — Coordinated care fee, physician coordinated care oversight services
- G9009 — Coordinated care fee, risk adjusted maintenance, level 3
- G9010 — Coordinated care fee, risk adjusted maintenance, level 4
- G9011 — Coordinated care fee, risk adjusted maintenance, level 5