G9005 Mccd, risk adj, maintenance
Also known as: CCM maintenance risk-adjusted, risk-adjusted maintenance
Performance measure code for risk-adjusted chronic care management services at maintenance rate for continuing enrollment in Medicare-covered program.
In Plain Language
doctor's fee for ongoing management of complex patients; maintenance fee for chronic disease management
Clinical Context
Billing code for Medicare CCM maintenance services with risk adjustment applied based on patient complexity.
RVU Information
CPT G9005 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 G9005?
CPT G9005 (Mccd, risk adj, maintenance) is a G Codes code. Performance measure code for risk-adjusted chronic care management services at maintenance rate for continuing enrollment in Medicare-covered program.
Who uses CPT code G9005?
CPT G9005 is used by Primary Care, Care Coordination, Billing. Billing code for Medicare CCM maintenance services with risk adjustment applied based on patient complexity.
When is CPT G9005 used?
Billing code for Medicare CCM maintenance services with risk adjustment applied based on patient 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.