G4005 HCPCS Level II code: Family medicine mips specialty set
G4005 is the HCPCS code for “Family medicine mips specialty set” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G4005Family medicine mips specialty set
Short description: Family medicine ss
HCPCS · United States
Medicare details
The indicators CMS publishes with G4005 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 G4005 sits
- 1G codesProcedures and professional services
- 2Active code G4005Family medicine mips specialty set
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 G4005 mean?
G4005 is the HCPCS code for “Family medicine mips specialty set” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G4005?
CMS lists G4005’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 G4005
All G codesG3003Each 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…G4000Dermatology mips specialty setG4001Diagnostic radiology mips specialty setG4002Electrophysiology cardiac specialist mips specialty setG4003Emergency medicine mips specialty setG4004Endocrinology mips specialty setG4006Gastro-enterology mips specialty setG4007General surgery mips specialty setG4008Geriatrics mips specialty setG4009Hospitalists mips specialty setG4010Infectious disease mips specialty setG4011Internal medicine mips specialty set