HCPCS Level II · Procedures and professional services (temporary)
G9004Coordinated care fee, risk adjusted low, initial
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About G9004
G9004 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing coordinated care fee, risk adjusted low, initial.
It was added to HCPCS effective 10/01/2000.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Mccd, risk adj lo, initial
- Date added
- 10/01/2000
- Action effective
- 10/01/2000
- BETOS
- Y2
Related G90xx codes
- G9001Coordinated care fee, initial rate
- G9002Coordinated care fee, maintenance rate
- G9003Coordinated care fee, risk adjusted high, initial
- G9005Coordinated care fee, risk adjusted maintenance
- G9006Coordinated care fee, home monitoring
- G9007Coordinated care fee, scheduled team conference
- G9008Coordinated care fee, physician coordinated care oversight services
- G9009Coordinated care fee, risk adjusted maintenance, level 3
- G9010Coordinated care fee, risk adjusted maintenance, level 4
- G9011Coordinated care fee, risk adjusted maintenance, level 5
- G9012Other specified case management service not elsewhere classified
- G9013Esrd demo basic bundle level i
Common questions about G9004
Is HCPCS G9004 still valid?
- Yes. G9004 is active in the CMS October 2026 HCPCS file.
Does Medicare cover G9004?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.