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HCPCS Level II · Procedures and professional services (temporary)

G9038Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care

Terminated 06/30/2025

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About G9038

G9038 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care planning; condition for which specialist is taking a co-management role; condition expected to last at least 3 months; comprehensive care plan established, implemented, revised or monitored in partnership with co-managing clinicians; ongoing communication and care coordination between co-managing clinicians furnishing care.

It was added to HCPCS effective 07/01/2024, and its current record took effect 07/01/2025.

It was terminated on 06/30/2025 and can't be billed for later dates of service.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Co-management services
Date added
07/01/2024
Action effective
07/01/2025
Termination date
06/30/2025
BETOS
Z2

Related G90xx codes

Common questions about G9038

Is HCPCS G9038 still valid?

No. G9038 was terminated on 06/30/2025.

Does Medicare cover G9038?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.