CMS RBCS · Evaluation & management · Care Management/Coordination
Care Management/Coordination — codes without an RBCS family
45 CPT®/HCPCS
codes, ranked by est. all-Medicare
services — scaled from national Medicare Part B fee-for-service volume. Open any code for the full market view —
ranked physician groups, geography, and 12-year trend.
CMS's RBCS classification leaves these codes at the subcategory level —
no family is assigned. We list them; we don't invent a family.
CY2024 · National scale is an all-Medicare estimate · est. — scaled estimate — assumes MA utilization mirrors FFS; not an observation; the observed fee-for-service figure is shown adjacent. Part B · national figures
HCPCS · E&MG2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient'sCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale49.34M services · est. · 15.35M FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 24.63M observed fee-for-service services
HCPCS · E&MG9678Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation aCMS descriptor · HCPCS Medicare Part B claims
First observed2016 — first year this code appears in Part B claims
HCPCS · E&MG3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan thaCMS descriptor · HCPCS Medicare Part B claims
First observed2023 — first year this code appears in Part B claims
HCPCS · E&MG2012Brief 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 servicCMS descriptor · HCPCS Medicare Part B claims
First observed2019 — first year this code appears in Part B claims
HCPCS · E&MG0296Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)CMS descriptor · HCPCS Medicare Part B claims
First observed2015 — first year this code appears in Part B claims
HCPCS · E&MG3003Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)CMS descriptor · HCPCS Medicare Part B claims
First observed2023 — first year this code appears in Part B claims
HCPCS · E&MG0109Diabetes outpatient self-management training services, group session (2 or more), per 30 minutesCMS descriptor · HCPCS Medicare Part B claims
First observed2013 — start of our 12-year window; the code predates it
HCPCS · E&MG0022Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)CMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale50,074 services · est. · 1,589 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 23,408 observed fee-for-service services
HCPCS · E&MG0523Management of a new patient with dementia, moderate to high complexity, for use in cmmi modelCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale18,517 services · est. · 3,693 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 8,887 observed fee-for-service services
HCPCS · E&MG0019Community 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 addresCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale10,550 services · est. · 2,321 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 4,881 observed fee-for-service services
HCPCS · E&MG0520Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi modelCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale6,895 services · est. · 1,432 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 3,328 observed fee-for-service services
HCPCS · E&MG0420Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hourCMS descriptor · HCPCS Medicare Part B claims
First observed2013 — start of our 12-year window; the code predates it
HCPCS · E&MG0023Principal 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 assessmenCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale6,050 services · est. · 1,187 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 2,884 observed fee-for-service services
HCPCS · E&MG0083Moderate (45 minutes) care management home visit for an existing patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
HCPCS · E&MG0024Principal illness navigation services, additional 30 minutes per calendar month (list separately in addition to g0023)CMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale2,426 services · est. · 420 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 1,172 observed fee-for-service services
HCPCS · E&MG0519Management of new patient-caregiver dyad with dementia, low complexity, for use in cmmi modelCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale2,409 services · est. · 434 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 1,176 observed fee-for-service services
HCPCS · E&MG0084Comprehensive (60 minutes) care management home visit for an existing patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
HCPCS · E&MG0082Limited (30 minutes) care management home visit for an existing patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
HCPCS · E&MG2007Limited (30 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 daCMS descriptor · HCPCS Medicare Part B claims
First observed2019 — first year this code appears in Part B claims
HCPCS · E&MG2008Moderate (45 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 dCMS descriptor · HCPCS Medicare Part B claims
First observed2019 — first year this code appears in Part B claims
HCPCS · E&MG0421Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hourCMS descriptor · HCPCS Medicare Part B claims
First observed2013 — start of our 12-year window; the code predates it
HCPCS · E&MG0085Extensive (75 minutes) care management home visit for an existing patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
National scale383 services · est. · 158 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 191 observed fee-for-service services
HCPCS · E&MG0140Principal 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-centCMS descriptor · HCPCS Medicare Part B claims
First observed2024 — first year this code appears in Part B claims
National scale272 services · est. · 98 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 127 observed fee-for-service services
HCPCS · E&MG2006Brief (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 daysCMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
HCPCS · E&MG2005Extensive (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 fCMS descriptor · HCPCS Medicare Part B claims
First observed2022 — first year this code appears in Part B claims
National scale96 services · est. · 52 FFS beneficiary-episodes (CY2022, all-Medicare estimate)— 52 observed fee-for-service services
HCPCS · E&MG0071Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or mCMS descriptor · HCPCS Medicare Part B claims
First observed2020 — first year this code appears in Part B claims
National scale76 services · est. · 35 FFS beneficiary-episodes (CY2021, all-Medicare estimate)— 43 observed fee-for-service services
HCPCS · E&MG0081Brief (20 minutes) care management home visit for an existing patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2022 — first year this code appears in Part B claims
National scale66 services · est. · 30 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 33 observed fee-for-service services
HCPCS · E&MG0077Limited (30 minutes) care management home visit for a new patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2021 — first year this code appears in Part B claims
National scale64 services · est. · 30 FFS beneficiary-episodes (CY2024, all-Medicare estimate)— 32 observed fee-for-service services
HCPCS · E&MG0080Extensive (75 minutes) care management home visit for a new patient. 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)CMS descriptor · HCPCS Medicare Part B claims
First observed2022 — first year this code appears in Part B claims
National scale27 services · est. · 14 FFS beneficiary-episodes (CY2023, all-Medicare estimate)— 14 observed fee-for-service services
HCPCS · E&MG2013Extensive (75 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 90CMS descriptor · HCPCS Medicare Part B claims
First observed2019 — first year this code appears in Part B claims
HCPCS · E&MG2009Comprehensive (60 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 withinCMS descriptor · HCPCS Medicare Part B claims
First observed2019 — first year this code appears in Part B claims
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