Evaluation and management services: HCPCS Code List

Most searched codes in this category

Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes in this category coders and billers look up most.

Evaluation and management services: codes with the most Google searches
Code	Short descriptor	Medicare amount	Searches / month
G0463	Hospital outpt clinic visit	$136.02	2,900
G0439	Ppps, subseq visit	$137.61	2,400
G0438	Ppps, initial visit	$174.35	1,600
G0402	Initial preventive exam	$174.69	1,300
G2212	Prolong outpt/office vis	$34.07	1,300
G0136	Adm of pa/n assess 5-15 m	$20.04	880
G0378	Hospital observation per hr	—	720
G0101	Ca screen;pelvic/breast exam	$39.75	590
G0537	Risk ascvd tst once pr 12 mo	$20.04	590
G0545	Inherent visit to inpt	$48.43	480

Codes in this category

87 codes in this category have an indexed reference page; the other 376 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure each code page leads with, and the range column links the HCPCS range hub the code also belongs to.

Evaluation and management services: codes with an indexed reference page
Code	Descriptor	Medicare amount	Basis	Range hub
G0017	Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes	$218.44	PFS non-facility	G codes
G0018	Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)	$105.21	PFS non-facility	G codes
G0019	Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to address social determinants of health (sdoh) need(s) that are significantly limiting the ability to diagnose or treat problem(s) addressed in an initiating visit: person-centered assessment, performed to better understand the individualized context of the intersection between the sdoh need(s) and the problem(s) addressed in the initiating visit. ++ conducting a person-centered assessment to understand patient's life story, strengths, needs, goals, preferences and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal-setting and establishing an action plan. ++ providing tailored support to the patient as needed to accomplish the practitioner's treatment plan. practitioner, home-, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; and from home- and community-based service providers, social service providers, and caregiver (if applicable). ++ communication with practitioners, home- and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) to address the sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, and preferences, in the context of the sdoh need(s), and educating the patient on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services addressing the sdoh need(s), in ways that are more likely to promote personalized and effective diagnosis or treatment. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care and helping secure appointments with them. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the problem(s) addressed in the initiating visit, the sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leveraging lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals	$86.17	PFS non-facility	G codes
G0023	Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities: person-centered assessment, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered assessment to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors and including unmet sdoh needs (that are not separately billed). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care coordination. ++ coordinating receipt of needed services from healthcare practitioners, providers, and facilities; home- and community-based service providers; and caregiver (if applicable). ++ communication with practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ coordination of care transitions between and among health care practitioners and settings, including transitions involving referral to other clinicians; follow-up after an emergency department visit; or follow-up after discharges from hospitals, skilled nursing facilities or other health care facilities. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education- helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. health care access / health system navigation. ++ helping the patient access healthcare, including identifying appropriate practitioners or providers for clinical care, and helping secure appointments with them. ++ providing the patient with information/resources to consider participation in clinical trials or clinical research as applicable. facilitating behavioral change as necessary for meeting diagnosis and treatment goals, including promoting patient motivation to participate in care and reach person-centered diagnosis or treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals	$87.18	PFS non-facility	G codes
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	$39.75	PFS non-facility	G codes
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	$20.04	PFS non-facility	G codes
G0137	Intensive outpatient services; weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include individual and group therapy with physicians or psychologists (or other mental health professionals to the extent authorized under state law); occupational therapy requiring the skills of a qualified occupational therapist; services of social workers, trained psychiatric nurses, and other staff trained to work with psychiatric patients; individualized activity therapies that are not primarily recreational or diversionary; family counseling (the primary purpose of which is treatment of the individual's condition); patient training and education (to the extent that training and educational activities are closely and clearly related to individual's care and treatment); diagnostic services; and such other items and services (excluding meals and transportation) that are reasonable and necessary for the diagnosis or active treatment of the individual's condition, reasonably expected to improve or maintain the individual's condition and functional level and to prevent relapse or hospitalization, and furnished pursuant to such guidelines relating to frequency and duration of services in accordance with a physician certification and plan of treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	—	none in these files	G codes
G0138	Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga	$196.40	PFS non-facility	G codes
G0140	Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a certified peer specialist; 60 minutes per calendar month, in the following activities: person-centered interview, performed to better understand the individual context of the serious, high-risk condition. ++ conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes, including understanding cultural and linguistic factors, and including unmet sdoh needs (that are not billed separately). ++ facilitating patient-driven goal setting and establishing an action plan. ++ providing tailored support as needed to accomplish the person-centered goals in the practitioner's treatment plan. identifying or referring patient (and caregiver or family, if applicable) to appropriate supportive services. practitioner, home, and community-based care communication. ++ assist the patient in communicating with their practitioners, home-, and community-based service providers, hospitals, and skilled nursing facilities (or other health care facilities) regarding the patient's psychosocial strengths and needs, goals, preferences, and desired outcomes, including cultural and linguistic factors. ++ facilitating access to community-based social services (e.g., housing, utilities, transportation, food assistance) as needed to address sdoh need(s). health education. helping the patient contextualize health education provided by the patient's treatment team with the patient's individual needs, goals, preferences, and sdoh need(s), and educating the patient (and caregiver if applicable) on how to best participate in medical decision-making. building patient self-advocacy skills, so that the patient can interact with members of the health care team and related community-based services (as needed), in ways that are more likely to promote personalized and effective treatment of their condition. developing and proposing strategies to help meet person-centered treatment goals and supporting the patient in using chosen strategies to reach person-centered treatment goals. facilitating and providing social and emotional support to help the patient cope with the condition, sdoh need(s), and adjust daily routines to better meet person-centered diagnosis and treatment goals. leverage knowledge of the serious, high-risk condition and/or lived experience when applicable to provide support, mentorship, or inspiration to meet treatment goals	$89.18	PFS non-facility	G codes
G0175	Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present	$426.30	OPPS rate	G codes
G0245	Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education	$65.47	PFS non-facility	G codes
G0246	Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education	$38.75	PFS non-facility	G codes
G0247	Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails	$80.83	PFS non-facility	G codes
G0248	Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results	$105.55	PFS non-facility	G codes
G0250	Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests	$9.02	PFS non-facility	G codes
G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	$31.73	PFS non-facility	G codes
G0271	Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes	$17.03	PFS non-facility	G codes
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	$28.72	PFS non-facility	G codes
G0372	Physician service required to establish and document the need for a power mobility device	$9.35	PFS non-facility	G codes
G0378	Hospital observation service, per hour	—	none in these files	G codes
G0379	Direct admission of patient for hospital observation care	$608.43	OPPS rate	G codes
G0380	Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	$75.94	OPPS rate	G codes
G0381	Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	$94.90	OPPS rate	G codes
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	$175.61	OPPS rate	G codes
G0383	Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)	$270.03	OPPS rate	G codes
G0390	Trauma response team associated with hospital critical care service	$1,361.78	OPPS rate	G codes
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	$37.07	PFS non-facility	G codes
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	$67.47	PFS non-facility	G codes
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$174.69	PFS non-facility	G codes
G0406	Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	$36.07	PFS facility	G codes
G0407	Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	$63.80	PFS facility	G codes
G0408	Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth	$93.52	PFS facility	G codes
G0420	Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour	$113.56	PFS non-facility	G codes
G0422	Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session	$131.60	PFS non-facility	G codes
G0423	Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session	$131.60	PFS non-facility	G codes
G0425	Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	$84.17	PFS facility	G codes
G0426	Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	$117.24	PFS facility	G codes
G0427	Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth	$168.34	PFS facility	G codes
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	$174.35	PFS non-facility	G codes
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$137.61	PFS non-facility	G codes
G0451	Development testing, with interpretation and report, per standardized instrument form	$12.36	PFS non-facility	G codes
G0454	Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist	$9.02	PFS non-facility	G codes
G0459	Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy	$39.75	PFS facility	G codes
G0463	Hospital outpatient clinic visit for assessment and management of a patient	$136.02	OPPS rate	G codes
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	—	none in these files	G codes
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	—	none in these files	G codes
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv	—	none in these files	G codes
G0469	Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit	—	none in these files	G codes
G0473	Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes	$12.69	PFS non-facility	G codes
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	$66.47	PFS non-facility	G codes
G0508	Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth	$184.71	PFS facility	G codes
G0513	Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)	$64.80	PFS non-facility	G codes
G0514	Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)	$64.80	PFS non-facility	G codes
G0537	Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months	$20.04	PFS non-facility	G codes
G0538	Atherosclerotic cardiovascular disease (ascvd) risk management services; clinical staff time; per calendar month	$17.03	PFS non-facility	G codes
G0539	Caregiver training in behavior management/modification for caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; initial 30 minutes	$53.11	PFS non-facility	G codes
G0541	Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; initial 30 minutes	$53.11	PFS non-facility	G codes
G0542	Caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face; each additional 15 minutes (list separately in addition to code for primary service) (use g0542 in conjunction with g0541)	$26.05	PFS non-facility	G codes
G0544	Post discharge telephonic follow-up contacts performed in conjunction with a discharge from the emergency department for behavioral health or other crisis encounter, 4 calls per calendar month	$66.80	PFS non-facility	G codes
G0545	Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)	$48.43	PFS non-facility	G codes
G0553	First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month	$54.11	PFS non-facility	G codes
G0557	Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: consent; ++ inform the patient of the availability of the service; that only one practitioner can furnish and be paid for the service during a calendar month; of the right to stop the services at any time (effective at the end of the calendar month); and that cost sharing may apply. ++ document in patient's medical record that consent was obtained. initiation during a qualifying visit for new patients or patients not seen within 3 years; provide 24/7 access for urgent needs to care team/practitioner, including providing patients/caregivers with a way to contact health care professionals in the practice to discuss urgent needs regardless of the time of day or day of week; continuity of care with a designated member of the care team with whom the patient is able to schedule successive routine appointments; deliver care in alternative ways to traditional office visits to best meet the patient's needs, such as home visits and/or expanded hours; overall comprehensive care management; ++ systematic needs assessment (medical and psychosocial). ++ system-based approaches to ensure receipt of preventive services. ++ medication reconciliation, management and oversight of self-management. development, implementation, revision, and maintenance of an electronic patient-centered comprehensive care plan; ++ care plan is available timely within and outside the billing practice as appropriate to individuals involved in the beneficiary's care, can be routinely accessed and updated by care team/practitioner, and copy of care plan to patient/caregiver; coordination of care transitions between and among health care providers and settings, including referrals to other clinicians and follow-up after an emergency department visit and discharges from hospitals, skilled nursing facilities or other health care facilities as applicable; ++ ensure timely exchange of electronic health information with other practitioners and providers to support continuity of care. ++ ensure timely follow-up communication (direct contact, telephone, electronic) with the patient and/or caregiver after an emergency department visit and discharges from hospitals, skilled nursing facilities, or other health care facilities, within 7 calendar days of discharge, as clinically indicated. ongoing communication and coordinating receipt of needed services from practitioners, home- and community-based service providers, community-based social service providers, hospitals, and skilled nursing facilities (or other health care facilities), and document communication regarding the patient's psychosocial strengths and needs, functional deficits, goals, preferences, and desired outcomes, including cultural and linguistic factors, in the patient's medical record; enhanced opportunities for the beneficiary and any caregiver to communicate with the care team/practitioner regarding the beneficiary's care through the use of asynchronous non-face-to-face consultation methods other than telephone, such as secure messaging, email, internet, or patient portal, and other communication-technology based services, including remote evaluation of pre-recorded patient information and interprofessional telephone/internet/ehr referral service(s), to maintain ongoing communication with patients, as appropriate; ++ ensure access to patient-initiated digital communications that require a clinical decision, such as virtual check-ins and digital online assessment and management and e/m visits (or e-visits). analyze patient population data to identify gaps in care and offer additional interventions, as appropriate; risk stratify the practice population based on defined diagnoses, claims, or other electronic data to identify and target services to patients; be assessed through performance measurement of primary care quality, total cost of care, and meaningful use of certified ehr technology	$53.78	PFS non-facility	G codes
G0560	Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe	$42.42	PFS non-facility	G codes
G0570	Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code)	$57.78	PFS non-facility	G codes
G2001	Brief (20 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)	$49.43	PFS non-facility	G codes
G2002	Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)	$74.48	PFS non-facility	G codes
G2003	Moderate (45 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)	$120.24	PFS non-facility	G codes
G2005	Extensive (75 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)	$217.11	PFS non-facility	G codes
G2006	Brief (20 minutes) in-home visit for an existing patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)	$49.43	PFS non-facility	G codes
G2010	Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment	$13.03	PFS non-facility	G codes
G2011	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes	$17.37	PFS non-facility	G codes
G2014	Limited (30 minutes) care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)	$73.82	PFS non-facility	G codes
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)	—	none in these files	G codes
G2068	Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)	—	none in these files	G codes
G2069	Medication assisted treatment, buprenorphine (injectable) administered on a monthly basis; bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)	—	none in these files	G codes
G2076	Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code	—	none in these files	G codes
G2078	Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	—	none in these files	G codes
G2079	Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure	—	none in these files	G codes
G2082	Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation	$952.59	PFS non-facility	G codes
G2083	Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation	$1,356.08	PFS non-facility	G codes
G2086	Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month	$491.33	PFS non-facility	G codes
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	$443.23	PFS non-facility	G codes
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)	$34.07	PFS non-facility	G codes
G2214	Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional	$60.79	PFS non-facility	G codes
G2250	Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment	$13.03	PFS non-facility	G codes
G2251	Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion	$14.03	PFS non-facility	G codes
G2252	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion	$28.39	PFS non-facility	G codes

Show the other 376 codes (pages not in search results)

C7900 Hopd mntl hlt, 15-29 min
C7901 Hopd mntl hlt, 30-60 min
C7902 Hopd mntl hlt, ea addl
C7903 Hopd mntl hlt, grp
G0022 Comm hlth intg svs add 30 m
G0024 Pin srv add 30 min pr m
G0068 Adm iv infusion drug in home
G0069 Adm sq infusion drug in home
G0070 Adm of chemo drug in home
G0076 Care manag h vst new pt 20 m
G0077 Care manag h vst new pt 30 m
G0078 Care manag h vst new pt 45 m
G0079 Care manag h vst new pt 60 m
G0080 Care manag h vst new pt 75 m
G0081 Care man h v ext pt 20 mi
G0082 Care man h v ext pt 30 m
G0083 Care man h v ext pt 45 m
G0084 Care man h v ext pt 60 m
G0085 Care man h v ext pt 75 m
G0086 Care man home care plan 30 m
G0087 Care man home care plan 60 m
G0088 Adm iv drug 1st home visit
G0089 Adm subq drug 1st home visit
G0090 Adm iv chemo 1st home visit
G0146 Nav srv peer sup add 30 pr m
G0299 Hhs/hospice of rn ea 15 min
G0300 Hhs/hospice of lpn ea 15 min
G0310 Immunize counsel 5-15 min
G0311 Immunize counsel 16-30 mins
G0312 Immunize couns < 21yr 5-15 m
G0313 Immunize couns < 21yr 6-30 m
G0314 Counsel immune <21 16-30 m
G0315 Counsel immune <21 5-15 m
G0337 Hospice evaluation preelecti
G0384 Lev 5 hosp type b ed visit
G0409 Corf related serv 15 mins ea
G0421 Ed svc ckd grp per session
G0470 FQHC visit, mh estab pt
G0490 Home visit rn, lpn by RHC/fq
G0501 Resource-inten svc during ov
G0509 Crit care telehea consult 50
G0533 Buprenorphone inj weekly
G0534 Coordinated care/or referral
G0535 Pt navigat svs direct/ref
G0536 Peer recover support svs
G0540 Train for caregiver add 15
G0543 Group train w/o patient
G0546 Phone/internet ehr assess
G0547 Phone/internet svs 11-20 m
G0548 Phone/inter svs 21-30 m
G0549 Phone/inter for treat>31m
G0550 Phone/inter for dx/treat >5m
G0551 Phn/intr svs fr dx treat 30m
G0552 Supply of digital device
G0554 Add 20 m of monthly tx
G0556 Adv prim care mgmt lvl 1
G0558 Adv prim care mgmt lvl 3
G0559 Unrelat prac follow up visit
G0568 Int psych care mng, 1 cal mo
G0569 Subs psych care mng, subs mo
G0660 Team remote E/M new pt 10 mn
G0661 Team remote E/M new pt 20 mn
G0662 Team remote E/M new pt 30 mn
G0663 Team remote E/M new pt 45 mn
G0664 Team remote E/M new pt 60 mn
G0665 Team remote E/M est pt 10 mn
G0666 Team remote E/M est pt 15 mn
G0667 Team remote E/M est pt 25 mn
G0668 Team remote E/M est pt 40 mn
G0669 Eckm oap-initial period
G0670 Eckm oap-follow-on period(s)
G0671 Ckm oap-initial period
G0672 Ckm oap-follow-on period(s)
G0673 Msk oap-initial period
G0674 Bh oap-initial period
G0675 Bh oap-follow-on period(s)
G0676 Std co-mgmt-eckm, ckm
G0677 Std co-mgmt-msk
G0678 Std co-mgmt-bh
G0680 Cr art clc art vlv clc w rpt
G0913 Improve visual funct
G0914 Survey not complete
G0915 No improve visual funct
G0916 Satisfy with care
G0917 Care survey not complete
G0918 No satisfy with care
G2004 Post-d/c h vst new pt 60 m
G2007 Post-d/c h vst ext pt 30 m
G2008 Post-d/c h vst ext pt 45 m
G2009 Post-d/c h vst ext pt 60 m
G2013 Post-d/c h vst ext pt 75 m
G2015 Post-d/c care plan overs 60m
G2021 Hea care pract tx in place
G2022 Benef refuses service, mod
G2025 Dis site tele svcs RHC/FQHC
G2073 Med tx naltrexone
G2074 Med assist tx no drug
G2075 Med tx meds NOS
G2077 Periodic assessment
G2080 Add 30 mins counsel
G2088 Off base opioid tx, add30
G8395 Lvef>=40% doc normal or mild
G8396 Lvef not performed
G8397 Dil macula/fundus exam/w doc
G8399 Pt w/dxa results document
G8400 Pt w/dxa no results doc
G8404 Low extemity neur exam docum
G8405 Low extemity neur not perfor
G8410 Eval on foot documented
G8415 Eval on foot not performed
G8416 Pt inelig footwear evaluatio
G8417 Calc bmi abv up param f/u
G8418 Calc bmi blw low param f/u
G8419 Calc bmi out nrm param nof/u
G8420 Calc bmi norm parameters
G8421 Bmi not calculated
G8427 Docrev cur meds by elig clin
G8428 Cur meds not document
G8430 Doc med rsn no medrec
G8431 Pos clin depres scrn f/u doc
G8432 Dep scr not doc, rng
G8433 Scr for dep not cpt doc rsn
G8450 Beta-bloc rx pt w/abn lvef
G8451 Pt w/abn lvef inelig b-bloc
G8452 Pt w/abn lvef b-bloc no rx
G8465 High risk recurrence pro ca
G8473 Ace/arb thxpy rx'd
G8474 Ace/arb not rx'd; doc reas
G8475 Ace/arb thxpy not rx'd
G8476 Bp sys <140 and dias <90
G8477 Bp sys>=140 and/or dias >=90
G8478 Bp not performed/doc
G8510 Scr dep neg, no plan reqd
G8511 Scr dep pos, no plan doc rng
G8535 Eld maltreatment not doc
G8536 No doc elder mal scrn
G8539 Doc funct and care plan
G8540 Foa not doc as being perf
G8541 No doc cur funct assess
G8542 Doc funct no deficiencies
G8543 Cur funct asses; no care pln
G8559 Pt ref doc oto eval
G8560 Pt hx act drain prev 90 days
G8561 Pt inelig for ref oto eval
G8562 Pt no hx act drain 90 d
G8563 Pt no ref oto reas no spec
G8564 Pt ref oto eval
G8565 Ver doc hear loss
G8566 Pt inelig ref oto eval
G8567 Pt no doc hear loss
G8568 Pt no ref otolo no spec
G8569 Prol intubation req
G8570 No prol intub req
G8575 Postop ren fail
G8576 No postop ren fail
G8577 Reop req bld grft oth
G8578 No reop req bld grft oth
G8598 Asa/antiplat ther used
G8599 No asa/antiplat ther use rng
G8600 Tpa initi w/in 4.5 hr
G8601 No elig tpa init w/in 4.5 hr
G8602 No tpa init w/in 4.5 hr
G8633 Pharm ther osteo rx
G8635 No pharm ther osteo rx
G8647 Rafscrs ki scor >= 0
G8648 Rafscrs ki scor < 0
G8650 Rafs crs ki no scor no rsn
G8651 Rafscrs hi scor >=0
G8652 Rafscrs hi scor < 0
G8654 Rafs crs hi no scor no surv
G8655 Rafscrs llfai scor >= 0
G8656 Rafscrs llfai scor < 0
G8658 Rafscrs llfai no scor + surv
G8659 Rafscrs lbi scor >= 0
G8660 Rafscrs lbi scor < 0
G8661 Rafscrs lbi no scor
G8662 Rafs crs lbi no scor no surv
G8663 Rafscrs si scor >= 0
G8664 Rafscrs si scor < 0
G8666 Rafs crs si no scor no surv
G8667 Rafscrs ewh scor >= 0
G8668 Rafscrs ewh scor < 0
G8670 Rafs crs ewh no scor no surv
G8694 Lvef <=40%
G8708 Antibiotic not pres
G8709 Uri ep compete diag
G8710 Pt pres antibiotic
G8711 Pres antibx on/within 3 day
G8712 Not pres antibiotic
G8721 Pt, pn, hist grade doc
G8722 Med reas pt, pn, not doc
G8723 Spec sit not prim tumor
G8724 Pt, pn, hist grade not doc
G8733 Doc pos elder mal scrn plan
G8734 Doc neg eld req
G8735 Eld mal scrn pos no plan
G8749 No signs melanoma
G8752 Sys bp less 140
G8753 Sys bp > or = 140
G8754 Dias bp less 90
G8755 Dias bp > or = 90
G8756 No bp measure doc
G8783 Bp scrn perf rec interval
G8785 Bp scrn no perf at interval
G8797 Specimen site not esophagus
G8798 Specimen site not prostate
G8806 Perf ultrsnd to lct preg doc
G8807 No ta tv ultrasnd
G8808 Ultrasound not perf, rng
G8815 Doc reas no statin therapy
G8816 Statin med pres at disch
G8817 Doc reas no statin med disch
G8826 Pt disch home day #2 evar
G8833 Pt not disch home day#2 evar
G8834 Pt disch home day #2 cea
G8838 Not disch home by day #2
G8839 Sleep apnea assess
G8840 Doc reas no sleep apnea
G8841 No sleep apnea assess
G8842 Ahi rdi rei doc win 2mo
G8843 Doc reas no ahi rdi rei
G8844 No ahi rdi rei ini dx no rsn
G8845 Pos airway press prescribed
G8846 Mod or severe osa
G8849 Doc reas no pos air press
G8850 No Pap prescribed
G8851 Adhere tx assess at lst ann
G8854 Reas no adhere therapy
G8855 Ther not assessed annually
G8856 Ref for oto eval
G8857 No elig ref for oto eval
G8858 Not ref for oto eval
G8863 No assess bone loss
G8864 Pneumococcal vaccine admin
G8865 Doc med reas no pneumococcal
G8866 Doc pt reas no pneumococcal
G8867 No pneumococcal admin
G8869 Doc immune hep b antitnf
G8875 Breast cancer dx min invsive
G8876 Doc reas no min inv dx
G8877 No brst cncr dx min invasive
G8878 Sent lymph node biopsy
G8880 Sen lym p node biop not perf
G8881 Brst cncr stage > t1n0m0
G8882 No sent lymph node biopsy
G8907 Pt doc no events on discharg
G8908 Pt doc w burn prior to d/c
G8909 Pt doc no burn prior to d/c
G8910 Pt doc to have fall in asc
G8911 Pt doc no fall in asc
G8912 Pt doc with wrong event
G8913 Pt doc no wrong event
G8914 Pt trans to hosp post d/c
G8915 Pt not trans to hosp at d/c
G8916 Pt w iv ab given on time
G8917 Pt w iv ab not given on time
G8918 Pt w/o preop order iv ab pro
G8923 Lvef <= 40% or lvsd
G8924 Spir res doc fev1/fvc<70%
G8934 Lvef <=40% or dep lv sys fcn
G8935 Rx ace or arb therapy
G8936 Pt not eligible ace/arb
G8937 No rx ace/arb therapy
G8942 Doc fcn/care plan w/30 days
G8944 Ajcc mel cnr stg 0 - iic
G8946 Mibm but no dx of breast ca
G8950 Pre-htn or htn doc, f/u indc
G8952 Pre-htn/htn, no f/u, not gvn
G8955 Most recent assess vol mgmt
G8956 Pt rcv hedia outpt dyls fac
G8958 Assess vol mgmt not doc
G8961 Csit lowrisk surg pts preop
G8962 Csit on pt any reas 30 days
G8967 Warf or other FDA drug presc
G8968 Doc med not presb
G8969 Doc pt rsn no presc warf/FDA
G8970 No rsk fac or 1 mod risk te
G9143 Warfarin respon genetic test
G9187 Bpci home visit
G9188 Beta not given no reason
G9189 Beta pres or already taking
G9190 Medical reason for no beta
G9191 Pt reason for no beta
G9212 Doc of dsm-iv init eval
G9213 No doc of dsm-iv
G9223 Pjp proph ordered cd4 low
G9225 Norsn no foot exam
G9226 3 comp foot exam completed
G9227 Foa doc, care plan not doc
G9228 Gc chl syp documented
G9230 Norsn for gc chl syp test
G9231 Doc ESRD dia trans preg
G9242 Doc viral load >=200
G9243 Doc viral load <200
G9246 No enc or enc/vir ld 90days
G9247 2 enc enc/vir ld 90d
G9254 Doc pt dischg >2d
G9255 Pt dc home 2nd po day
G9273 Sys<140 and dia<90
G9274 Bp out of nrml limits
G9275 Doc of non tobacco user
G9276 Doc of tobacco user
G9277 Doc daily aspirin or contra
G9278 Doc no daily aspirin
G9279 Pne scrn done doc vac done
G9280 Pne not given norsn
G9281 Pne scrn done doc not ind
G9282 Doc medrsn no histo type
G9283 Hist type doc on report
G9284 No hist type doc on report
G9285 Site not small cell lung ca
G9286 Antibio rx w in 10d of sympt
G9287 No antibio w in 10d of sympt
G9288 Doc medrsn no hist type rpt
G9289 Doc type nsm lung ca
G9290 No doc type nsm lung ca
G9291 Not nsm lung ca
G9292 Medrsn no pt category
G9293 No pt category on report
G9294 Pt cat and thck on report
G9295 Non cutaneous loc
G9296 Doc share dec prior proc
G9297 No doc share dec prior proc
G9298 Eval risk vte card 30d prior
G9299 No eval risk vte card prior
G9305 No interv req for leak
G9306 Interv req for leak
G9307 No ret for surg w in 30d
G9308 Unpl ret or w/compl w/in 30d
G9309 No unplnd hosp readm in 30d
G9310 Unplnd hosp readm in 30d
G9311 No surg site infection
G9312 Surgical site infection
G9313 Amoxic not presc as 1st line
G9314 Norsn not first line amox
G9315 Amox w/wo clav rx
G9316 Doc comm risk calc
G9317 No doc comm risk calc
G9318 Image std nomenclature
G9319 Image not std nomenclature
G9321 Prev CT nuc med cnt doc 12mo
G9322 No cnt CT nuc med doc 12mo
G9341 Srch for CT w in 12 mos
G9342 No srch for CT in 12mo norsn
G9344 Sysrsn no dicom srch
G9345 Follow up pulm nod
G9347 No follow up pulm nod norsn
G9351 Doc >1 sinus CT w 90d dx
G9352 Not >1 sinus CT w 90d dx
G9353 Medrsn >1 sinus CT w 90d dx
G9354 1 or no CT sinus w/in 90d dx
G9355 No early ind/delivery
G9356 Early ind/delivery
G9357 Pp eval/edu perf
G9358 Pp eval/edu not perf
G9473 Chap services at hospice
G9474 Diet counsel at hospice
G9475 Other counselor at hospice
G9476 Volun service at hospice
G9477 Care coord at hospice
G9478 Othe therapist at hospice
G9479 Pharmacist at hospice
G9480 Admission to mccm
G9868 Cmmi asyntelehealth <10min
G9869 Cmmi asyntelehealth 10-20min
G9870 Cmmi asyntelehealth >20min
G9978 Remote E/M new pt 10mins
G9979 Remote E/M new pt 20mins
G9980 Remote E/M new pt 30 mins
G9981 Remote E/M new pt 45mins
G9982 Remote E/M new pt 60mins
G9983 Remote E/M est. pt 10mins
G9984 Remote E/M est. pt 15mins
G9985 Remote E/M est. pt 25mins
G9986 Remote E/M est. pt 40mins
G9987 Bpci advanced in home visit

How this category is built

HCPCS Level II codes are organized by their first letter, which is how the range hubs on this site group them, but one kind of item or service often spans several letters: wheelchairs sit in the E and K ranges, supplies in A, B, Q and T, and imaging in A, C, G, Q and R. This hub regroups the codes by the BETOS category CMS records for each code in the HCPCS file, splitting the large prosthetic and orthotic category by L-code range and keeping vision and hearing items apart, so each non-drug code belongs to exactly one category hub besides its range hub. The national Medicare amount comes from the 2026 physician fee schedule, DMEPOS, clinical laboratory, OPPS or ASC file that prices the code, as on its reference page.

Where QuickIntell fits for evaluation and management services

QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.

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Frequently asked questions

Which HCPCS codes are grouped under "Evaluation and management services"?

463 active Level II codes in the October 2026 file, grouped here by BETOS M (visits, consultations and specialist services). 87 have a full reference page; the table lists those and the collapsed list names the rest.

What is a BETOS category?

The Berenson-Eggers Type of Service classification groups HCPCS and CPT codes into broad clinical categories such as evaluation and management, procedures, imaging, tests and durable medical equipment. CMS carries a BETOS code for each Level II code in the HCPCS file, which is what this hub reads.

Which code in this category has the highest Medicare amount?

Among the codes with an indexed page, G0390 at $1,361.78 (OPPS rate), from the October 2026 files. Each code page shows the full breakdown by modifier, state or locality.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

HCPCS Level II alpha-numeric file, October 2026
Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
Medicare PFS national relative value file RVU26D (non-QPP), October 2026
Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
DMEPOS fee schedule DME26-D, October 2026
Version DME26-D (October 2026) · effective 2026-10-01 · file DMEPOS_OCT.csvSHA-256 a2824d58aadf4004…
Clinical Laboratory Fee Schedule public use file, 2026 fourth quarter (26CLABQ4)
Version 26CLABQ4 (CY2026 Q4) · effective 2026-10-01 · file PUF_CLFS_CY2026_Q4V1.csvSHA-256 fcfec34526c44390…
OPPS Addendum B, October 2026
Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…

Disclaimer

Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.

Evaluation and management services: HCPCS Level II codes