G1025 HCPCS Level II code: Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
G1025 is the HCPCS code for “Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G1025Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
Short description: Pt mnth 1 mcp prov
HCPCS · United States
Medicare details
The indicators CMS publishes with G1025 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
Where G1025 sits
- 1G codesProcedures and professional services
- 2Active code G1025Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
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
What does HCPCS code G1025 mean?
G1025 is the HCPCS code for “Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G1025?
CMS lists G1025’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 G1025
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