HCPCS Codes - Medical Procedures, Supplies & DME Codes - g1 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("g1" Codes):- G1000 Clinical decision support mechanism applied pathways, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1001 Clinical decision support mechanism evicore, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1002 Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1003 Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1005 Clinical decision support mechanism national imaging associates, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1006 Clinical decision support mechanism test appropriate, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1007 Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1008 Clinical decision support mechanism cranberry peak, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1009 Clinical decision support mechanism sage health management solutions, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1011 Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program HCPCS C Code
- G1012 Clinical decision support mechanism agilemd, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1013 Clinical decision support mechanism evidencecare imaging advisor, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1014 Clinical decision support mechanism inveniqa semantic answers in medicine, as defined by the medicare appropriate use criteria program HCPCS Cod Code
- G1015 Clinical decision support mechanism reliant medical group, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1016 Clinical decision support mechanism speed of care, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1017 Clinical decision support mechanism healthhelp, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1018 Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1019 Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1020 Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1021 Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program Code
- G1022 Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria progr Code
- G1023 Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1024 Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria program HCPCS Code Code
- G1025 Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month HCPCS Code Code
- G1026 The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or lon Code
- G1027 The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group part Code
- 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 prog Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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