HCPCS Code G9038
Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care
| Short Description | Co-management services |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | D = Discontinue procedure or modifier code |
| Action Effective Date | July 01, 2025 |
| Code Added Date | July 01, 2024 |
| Pricing Indicator | 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.) |
| Type of Service | 1 = Medical care |