G9003 Mccd, risk adj hi, initial
Also known as: CCM high-risk initial, risk-adjusted CCM initial
Performance measure code for chronic care management services at risk-adjusted high rate, initial enrollment for complex, high-risk patients.
In Plain Language
doctor's fee for managing very sick patients starting; initial chronic disease management for high-risk patients
Clinical Context
Billing code for Medicare CCM services for patients meeting high-risk criteria at initial rate, recognizing additional complexity.
RVU Information
CPT G9003 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 G9003?
CPT G9003 (Mccd, risk adj hi, initial) is a G Codes code. Performance measure code for chronic care management services at risk-adjusted high rate, initial enrollment for complex, high-risk patients.
Who uses CPT code G9003?
CPT G9003 is used by Primary Care, Care Coordination, Billing. Billing code for Medicare CCM services for patients meeting high-risk criteria at initial rate, recognizing additional complexity.
When is CPT G9003 used?
Billing code for Medicare CCM services for patients meeting high-risk criteria at initial rate, recognizing additional complexity.
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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.