G9011 HCPCS Level II code: Coordinated care fee, risk adjusted maintenance, level 5
G9011 is the HCPCS code for “Coordinated care fee, risk adjusted maintenance, level 5” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9011Coordinated care fee, risk adjusted maintenance, level 5
Short description: Mccd, risk adj, level 5
HCPCS · United States
Notes for G9011
As CMS prints them, with any note G9011 takes from the headings above it.
Note
- CMS processing note 0096: SERVICE REPRESENTED BY G9106 IS REPORTABLE ONLY BY PARTICIPANTS IN THE SMOKING CESSATION COUNSELING DEMONSTRATION PROJECT.
Medicare details
The indicators CMS publishes with G9011 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, 2001
Where G9011 sits
- 1G codesProcedures and professional services
- 2Active code G9011Coordinated care fee, risk adjusted maintenance, level 5
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 G9011 mean?
G9011 is the HCPCS code for “Coordinated care fee, risk adjusted maintenance, level 5” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9011?
CMS lists G9011’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 G9011
All G codesG9005Coordinated 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 4G9012Other specified case management service not elsewhere classifiedG9013Esrd demo basic bundle level iG9014Esrd demo expanded bundle including venous access and related servicesG9016Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]G9017Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)G9018Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)