2017 HCPCS Codes > G Codes >

G9490

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

  • 2017 Status Change: Add procedure or modifier code
  • Effective Date: 2016-04-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Undefined codes

Medicare has not assigned a fee schedule for this code

G9489       G9496