G1025 — Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
G1025 is a HCPCS Level II code for patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G1025
- Long descriptor
- Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month
- Short descriptor
- Pt mnth 1 mcp prov
- Added
- January 1, 2022
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G1025
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G1025 is not quite right, the correct code is very often within a few positions of it.
- G1017Clinical decision support mechanism healthhelp, as defined by the medicare appropriate use criteria programterminated
- G1018Clinical decision support mechanism infinx, as defined by the medicare appropriate use criteria programterminated
- G1019Clinical decision support mechanism logicnets, as defined by the medicare appropriate use criteria programterminated
- G1020Clinical decision support mechanism curbside clinical augmented workflow, as defined by the medicare appropriate use criteria programterminated
- G1021Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria programterminated
- G1022Clinical decision support mechanism intermountain clinical decision support mechanism, as defined by the medicare appropriate use criteria programterminated
- G1023Clinical decision support mechanism persivia clinical decision support, as defined by the medicare appropriate use criteria programterminated
- G1024Clinical decision support mechanism radrite, as defined by the medicare appropriate use criteria programterminated
- G1026The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month
- G1027The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months
- G1028Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
- G2000Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session
- G2001Brief (20 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
- G2002Limited (30 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
- G2003Moderate (45 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
- G2004Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)
Questions about G1025
What is HCPCS code G1025?
G1025 is a HCPCS Level II code for patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G1025?
The CMS HCPCS file marks G1025 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G1025 paid under the physician fee schedule?
G1025 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.