G9010 Mccd, risk adj, level 4
Also known as: CCM level 4 complexity, high-complexity CCM
Performance measure code for chronic care management services at risk-adjusted level 4 complexity for highly complex patients.
In Plain Language
chronic disease management for very complex patients; CCM for patients with severe/multiple conditions
Clinical Context
Billing code for Medicare CCM services recognizing higher complexity and intensity of care for patients with multiple serious conditions.
RVU Information
CPT G9010 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 G9010?
CPT G9010 (Mccd, risk adj, level 4) is a G Codes code. Performance measure code for chronic care management services at risk-adjusted level 4 complexity for highly complex patients.
Who uses CPT code G9010?
CPT G9010 is used by Primary Care, Care Coordination, Billing. Billing code for Medicare CCM services recognizing higher complexity and intensity of care for patients with multiple serious conditions.
When is CPT G9010 used?
Billing code for Medicare CCM services recognizing higher complexity and intensity of care for patients with multiple serious conditions.
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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.