G0056 HCPCS Level II code: Optimizing chronic disease management mips value pathways
CMS terminated G0056: its last date of service was Dec 31, 2023. It stays here for looking up older claims; newer services need a current code.
Official description
G0056Optimizing chronic disease management mips value pathways
Short description: Opt chronic dx mang mvp
HCPCS · United States
Medicare details
The indicators CMS publishes with G0056 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2022
- Terminated after
- Dec 31, 2023
Where G0056 sits
- 1G codesProcedures and professional services
- 2Terminated G0056Optimizing chronic disease management mips value pathways
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code G0056 still valid?
No. CMS terminated G0056; its last date of service was Dec 31, 2023. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover G0056?
CMS lists G0056’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0056
All G codesG0050Patients with a catheter that have limited life expectancyG0051Patients under hospice care in the current reporting monthG0052Patients on peritoneal dialysis for any portion of the reporting monthG0053Advancing rheumatology patient care mips value pathwaysG0054Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathwaysG0055Advancing care for heart disease mips value pathwaysG0057Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathwaysG0058Improving care for lower extremity joint repair mips value pathwaysG0059Patient safety and support of positive experiences with anesthesia mips value pathwaysG0060Allergy/immunology mips specialty setG0061Anesthesiology mips specialty setG0062Audiology mips specialty set