G1025 Pt mnth 1 mcp prov
HCPCS code for patient in month 1 of Capitated Medicaid Managed Care Plan provider services. Indicates patient enrollment initiation.
In Plain Language
First month of managed care; Plan enrollment start
Clinical Context
Used to document a patient's first month of enrollment in a capitated Medicaid Managed Care Plan. Important for risk stratification and care coordination setup.
RVU Information
CPT G1025 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G1025?
CPT G1025 (Pt mnth 1 mcp prov) is a G Codes code. HCPCS code for patient in month 1 of Capitated Medicaid Managed Care Plan provider services. Indicates patient enrollment initiation.
Who uses CPT code G1025?
CPT G1025 is used by Medicaid Managed Care, Care Coordination, Risk Stratification. Used to document a patient's first month of enrollment in a capitated Medicaid Managed Care Plan. Important for risk stratification and care coordination setup.
When is CPT G1025 used?
Used to document a patient's first month of enrollment in a capitated Medicaid Managed Care Plan. Important for risk stratification and care coordination setup.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.