G9004 HCPCS Level II code: Coordinated care fee, risk adjusted low, initial
G9004 is the HCPCS code for “Coordinated care fee, risk adjusted low, initial” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9004Coordinated care fee, risk adjusted low, initial
Short description: Mccd, risk adj lo, initial
HCPCS · United States
Notes for G9004
As CMS prints them, with any note G9004 takes from the headings above it.
Note
- CMS processing note 0097: FOR INSTRUCTIONS RELATED TO THE MEDICARE COORDINATED CARE DEMONSTRATION (MCCD) SEF CR1050, 1116 AND 1118.
Medicare details
The indicators CMS publishes with G9004 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- 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
- Other - Non-Medicare fee schedule
- Added
- Oct 1, 2000
Where G9004 sits
- 1G codesProcedures and professional services
- 2Active code G9004Coordinated care fee, risk adjusted low, initial
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 G9004 mean?
G9004 is the HCPCS code for “Coordinated care fee, risk adjusted low, initial” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9004?
CMS lists G9004’s Medicare coverage as “Special coverage instructions apply” 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 G9004
All G codesG8997Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reportingG8998Swallowing functional limitation, discharge status, at discharge from therapy or to end reportingG8999Motor speech functional limitation, current status at therapy episode outset and at reporting intervalsG9001Coordinated care fee, initial rateG9002Coordinated care fee, maintenance rateG9003Coordinated care fee, risk adjusted high, initialG9005Coordinated care fee, risk adjusted maintenanceG9006Coordinated care fee, home monitoringG9007Coordinated care fee, scheduled team conferenceG9008Coordinated care fee, physician coordinated care oversight servicesG9009Coordinated care fee, risk adjusted maintenance, level 3G9010Coordinated care fee, risk adjusted maintenance, level 4