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G9153 Mapcp demo physician

G Codes

Also known as: MAPCP physician level, Medicaid advanced primary care physician

Multi-state Medicaid Advanced Primary Care Practice Demonstration program - physician level.

Clinical Context

CMS demonstration reimbursement for individual physicians and practices participating at the physician level in MAPCP program.

RVU Information

CPT G9153 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

Primary CareMedicaid ProgramsHealthcare Policy

Frequently Asked Questions

What is CPT code G9153?

CPT G9153 (Mapcp demo physician) is a G Codes code. Multi-state Medicaid Advanced Primary Care Practice Demonstration program - physician level.

Who uses CPT code G9153?

CPT G9153 is used by Primary Care, Medicaid Programs, Healthcare Policy. CMS demonstration reimbursement for individual physicians and practices participating at the physician level in MAPCP program.

When is CPT G9153 used?

CMS demonstration reimbursement for individual physicians and practices participating at the physician level in MAPCP program.

Track This Code in RVU Edge

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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.