G9004 Mccd, risk adj lo, initial
Also known as: CCM low-risk initial, risk-adjusted CCM low initial
Performance measure code for chronic care management services at risk-adjusted low rate, initial enrollment for lower-complexity patients.
In Plain Language
doctor's fee for managing patients with less complexity initially; initial CCM for lower-risk patients
Clinical Context
Billing code for Medicare CCM services for patients meeting low-risk criteria at initial rate.
RVU Information
CPT G9004 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 G9004?
CPT G9004 (Mccd, risk adj lo, initial) is a G Codes code. Performance measure code for chronic care management services at risk-adjusted low rate, initial enrollment for lower-complexity patients.
Who uses CPT code G9004?
CPT G9004 is used by Primary Care, Care Coordination, Billing. Billing code for Medicare CCM services for patients meeting low-risk criteria at initial rate.
When is CPT G9004 used?
Billing code for Medicare CCM services for patients meeting low-risk criteria at initial rate.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.