Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
G9490 |
HCPCS Sequence Number |
0010 |
HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
HCPCS Long Description |
Comprehensive care for joint replacement model, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in the medicare-approved cjr model); may not be billed for a 30 day period covered by a transitional care management code |
HCPCS Short Description |
Joint replac mod home visit |
HCPCS Pricing Indicator Code 1 |
00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Multiple Pricing Indicator Code |
9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
HCPCS Coverage Code |
C - Carrier judgment |
HCPCS Processing Note Number |
0206 |
HCPCS Berenson-Eggers Type Of Service Code |
Z2 - Undefined codes |
HCPCS Type Of Service Code 1 |
1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96 |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
4/1/2016 |
HCPCS Action Effective Date |
4/1/2016 |
HCPCS Action Code |
N - No maintenance for this code |